How much rates vary
Facilitymedian $457 · 10th to 90th $117 to $3,715Professionalmedian $148 · 10th to 90th $72 to $389
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 $2,089.30 Median $2,754.23 Typical High $3,981.07 | Facility | None | $2,089.30 | $2,754.23 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $165.96 Typical High $181.97 | Professional | None | $87.10 | $165.96 | $181.97 |
BCBS Setting Facility Modifier None Typical Low $302.00 Median $426.58 Typical High $512.86 | Facility | None | $302.00 | $426.58 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $61.66 Median $177.83 Typical High $257.04 | Professional | None | $61.66 | $177.83 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,202.26 | Facility | None | $676.08 | $1,122.02 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $389.05 | Professional | None | $107.15 | $147.91 | $389.05 |
United Setting Facility Modifier None Typical Low $97.72 Median $316.23 Typical High $3,890.45 | Facility | None | $97.72 | $316.23 | $3,890.45 |
United Setting Professional Modifier None Typical Low $54.95 Median $141.25 Typical High $295.12 | Professional | None | $54.95 | $141.25 | $295.12 |
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 $43.65 Median $53.70 Typical High $91.20 | Professional | 52 · Reduced service | $43.65 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.88 Typical High $36.31 | Professional | 53 · Discontinued | $17.38 | $21.88 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | 54 · Surgery only | $64.57 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $16.22 Typical High $27.54 | Professional | 55 · Aftercare only | $12.88 | $16.22 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.72 Typical High $18.20 | Professional | 56 · Pre-op care only | $8.71 | $10.72 | $18.20 |
Where Rhode Island sits
The same service costs 13.1 times more in Hawaii than in Kentucky. 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
HI $3,088KY $236
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.