How much rates vary
Facilitymedian $2,951 · 10th to 90th $724 to $5,248Professionalmedian $813 · 10th to 90th $631 to $1,549
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 $630.96 Median $794.33 Typical High $1,258.93 | Facility | None | $630.96 | $794.33 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $1,258.93 | Professional | None | $616.60 | $630.96 | $1,258.93 |
CareFirst Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,258.93 | Professional | None | $724.44 | $812.83 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $3,019.95 Typical High $4,897.79 | Facility | None | $676.08 | $3,019.95 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,905.46 | Professional | None | $676.08 | $831.76 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,288.25 | Professional | None | $707.95 | $794.33 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $2,630.27 Typical High $5,754.40 | Facility | None | $1,348.96 | $2,630.27 | $5,754.40 |
United Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,819.70 | Professional | None | $660.69 | $954.99 | $1,819.70 |
Wellpoint Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,047.13 | Professional | None | $707.95 | $707.95 | $1,047.13 |
6 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 $309.03 Median $316.23 Typical High $363.08 | Professional | 52 · Reduced service | $309.03 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $123.03 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $537.03 | Professional | 54 · Surgery only | $467.74 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $93.33 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $63.10 Typical High $72.44 | Professional | 56 · Pre-op care only | $61.66 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $501.19 |
Where Maryland sits
The same service costs 4.5 times more in Alaska than in Montana. 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
AK $10,099MT $2,245
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.