How much rates vary
Facilitymedian $977 · 10th to 90th $389 to $2,754Professionalmedian $1,622 · 10th to 90th $977 to $2,138
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 $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $2,137.96 Typical High $2,137.96 | Professional | None | $977.24 | $2,137.96 | $2,137.96 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,621.81 Typical High $1,819.70 | Professional | None | $794.33 | $1,621.81 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $2,691.53 | Professional | None | $977.24 | $1,071.52 | $2,691.53 |
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 $489.78 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $489.78 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $194.98 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $1,621.81 Typical High $1,621.81 | Professional | 54 · Surgery only | $724.44 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $144.54 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $97.72 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $1,513.56 Typical High $1,513.56 | Professional | 78 · Unplanned return to OR | $676.08 | $1,513.56 | $1,513.56 |
Where Mississippi sits
The same service costs 16.4 times more in Maine than in Maryland. 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
ME $28,429MD $1,737
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.