How much rates vary
Facilitymedian $6,310 · 10th to 90th $1,288 to $14,125Professionalmedian $794 · 10th to 90th $513 to $4,571
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 $2,454.71 Median $4,168.69 Typical High $7,585.78 | Facility | None | $2,454.71 | $4,168.69 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $794.33 | Professional | None | $512.86 | $524.81 | $794.33 |
BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $4,897.79 Typical High $10,471.29 | Facility | None | $1,348.96 | $4,897.79 | $10,471.29 |
BCBS Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,348.96 | Professional | None | $588.84 | $776.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $7,585.78 Typical High $16,218.10 | Facility | None | $588.84 | $7,585.78 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $660.69 Typical High $1,071.52 | Professional | None | $512.86 | $660.69 | $1,071.52 |
Lucent Health Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,570.88 | Professional | None | $3,981.07 | $3,981.07 | $4,570.88 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $10,000.00 Typical High $15,848.93 | Facility | None | $3,630.78 | $10,000.00 | $15,848.93 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,230.27 | Professional | None | $537.03 | $776.25 | $1,230.27 |
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 $257.04 Median $263.03 Typical High $380.19 | Professional | 52 · Reduced service | $257.04 | $263.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $104.71 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $104.71 | $151.36 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $398.11 Typical High $562.34 | Professional | 54 · Surgery only | $389.05 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $79.43 Typical High $112.20 | Professional | 55 · Aftercare only | $77.62 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $52.48 Typical High $75.86 | Professional | 56 · Pre-op care only | $51.29 | $52.48 | $75.86 |
Where Tennessee sits
The same service costs 9.8 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 $17,480MT $1,783
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.