How much rates vary
Facilitymedian $1,622 · 10th to 90th $447 to $2,754Professionalmedian $282 · 10th to 90th $219 to $589
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 $263.03 Median $295.12 Typical High $436.52 | Facility | None | $263.03 | $295.12 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $512.86 | Professional | None | $213.80 | $263.03 | $512.86 |
CareFirst Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $316.23 | Professional | None | $251.19 | $281.84 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $1,737.80 Typical High $2,818.38 | Facility | None | $446.68 | $1,737.80 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $316.23 Typical High $707.95 | Professional | None | $239.88 | $316.23 | $707.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $537.03 | Professional | None | $316.23 | $371.54 | $537.03 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,380.38 Typical High $2,570.40 | Facility | None | $758.58 | $1,380.38 | $2,570.40 |
United Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $676.08 | Professional | None | $223.87 | $354.81 | $676.08 |
Wellpoint Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $489.78 | Professional | None | $257.04 | $257.04 | $489.78 |
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 $107.15 Median $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | 54 · Surgery only | $162.18 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.90 Typical High $39.81 | Professional | 55 · Aftercare only | $32.36 | $38.90 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | 56 · Pre-op care only | $21.88 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $151.36 Median $181.97 Typical High $181.97 | Professional | 78 · Unplanned return to OR | $151.36 | $181.97 | $181.97 |
Where Maryland sits
The same service costs 5.6 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 $4,849MT $864
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.