How much rates vary
Facilitymedian $1,445 · 10th to 90th $759 to $2,512Professionalmedian $3,020 · 10th to 90th $1,585 to $3,890
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $1,659.59 | Professional | None | $1,348.96 | $1,445.44 | $1,659.59 |
BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $3,981.07 | Professional | None | $2,630.27 | $3,388.44 | $3,981.07 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $3,162.28 Median $4,073.80 Typical High $4,786.30 | Professional | 22 · Increased work | $3,162.28 | $4,073.80 | $4,786.30 |
BCBS Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,344.23 Typical High $2,818.38 | Professional | 54 · Surgery only | $1,862.09 | $2,344.23 | $2,818.38 |
BCBS Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | 56 · Pre-op care only | $263.03 | $338.84 | $398.11 |
BCBS Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,511.89 Typical High $3,019.95 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,511.89 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,754.23 | Facility | None | $2,398.83 | $2,398.83 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,884.03 Typical High $4,677.35 | Professional | None | $2,089.30 | $2,884.03 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $2,511.89 | Facility | None | $758.58 | $1,445.44 | $2,511.89 |
Medica Setting Professional Modifier None Typical Low $1,584.89 Median $2,630.27 Typical High $3,090.30 | Professional | None | $1,584.89 | $2,630.27 | $3,090.30 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $2,754.23 Typical High $3,311.31 | Professional | None | $1,445.44 | $2,754.23 | $3,311.31 |
Where North Dakota sits
The same service costs 15.5 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 $34,449MD $2,222
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.