How much rates vary
Facilitymedian $562 · 10th to 90th $214 to $2,344Professionalmedian $363 · 10th to 90th $219 to $661
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $363.08 Median $2,630.27 Typical High $6,760.83 | Facility | None | $363.08 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $218.78 Typical High $363.08 | Professional | None | $144.54 | $218.78 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $323.59 | Facility | None | $147.91 | $239.88 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $602.56 | Professional | None | $302.00 | $426.58 | $602.56 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $316.23 Typical High $549.54 | Professional | None | $123.03 | $316.23 | $549.54 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $512.86 Typical High $1,621.81 | Facility | None | $251.19 | $512.86 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $1,122.02 | Professional | None | $263.03 | $457.09 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $478.63 Typical High $602.56 | Professional | None | $309.03 | $478.63 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $323.59 | Facility | None | $162.18 | $229.09 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $389.05 Typical High $676.08 | Professional | None | $257.04 | $389.05 | $676.08 |
United Setting Facility Modifier None Typical Low $223.87 Median $707.95 Typical High $1,995.26 | Facility | None | $223.87 | $707.95 | $1,995.26 |
United Setting Professional Modifier None Typical Low $154.88 Median $316.23 Typical High $575.44 | Professional | None | $154.88 | $316.23 | $575.44 |
Wellmark Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $588.84 | Professional | None | $257.04 | $302.00 | $588.84 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $109.65 Typical High $181.97 | Professional | 52 · Reduced service | $75.86 | $109.65 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $44.67 Typical High $72.44 | Professional | 53 · Discontinued | $30.20 | $44.67 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $165.96 Typical High $275.42 | Professional | 54 · Surgery only | $112.20 | $165.96 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $33.11 Typical High $54.95 | Professional | 55 · Aftercare only | $22.39 | $33.11 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $21.88 Typical High $36.31 | Professional | 56 · Pre-op care only | $15.14 | $21.88 | $36.31 |
Where Iowa sits
The same service costs 8.8 times more in New York than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
NY $2,761AL $314
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.