How much rates vary
Facilitymedian $3,020 · 10th to 90th $1,288 to $5,754Professionalmedian $977 · 10th to 90th $759 to $1,862
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 $954.99 Median $954.99 Typical High $1,047.13 | Facility | None | $954.99 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,819.70 | Professional | None | $758.58 | $758.58 | $1,819.70 |
CareFirst Setting Professional Modifier None Typical Low $870.96 Median $977.24 Typical High $1,122.02 | Professional | None | $870.96 | $977.24 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $3,162.28 Typical High $5,495.41 | Facility | None | $1,348.96 | $3,162.28 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $2,344.23 | Professional | None | $831.76 | $1,023.29 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $977.24 Typical High $1,584.89 | Professional | None | $851.14 | $977.24 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,951.21 Typical High $5,754.40 | Facility | None | $1,288.25 | $2,951.21 | $5,754.40 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $2,238.72 | Professional | None | $812.83 | $1,174.90 | $2,238.72 |
Wellpoint Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None | $851.14 | $851.14 | $1,288.25 |
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 $380.19 Median $380.19 Typical High $436.52 | Professional | 52 · Reduced service | $380.19 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $154.88 Typical High $173.78 | Professional | 53 · Discontinued | $151.36 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $575.44 Typical High $660.69 | Professional | 54 · Surgery only | $562.34 | $575.44 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $131.83 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $87.10 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $537.03 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $524.81 | $537.03 | $616.60 |
Where Maryland sits
The same service costs 4.2 times more in Colorado 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
CO $11,551MT $2,762
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.