How much rates vary
Facilitymedian $1,950 · 10th to 90th $851 to $4,266Professionalmedian $977 · 10th to 90th $676 to $5,888
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 $1,621.81 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,621.81 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Professional | None | $676.08 | $758.58 | $1,000.00 |
BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $3,548.13 | Facility | None | $870.96 | $1,621.81 | $3,548.13 |
BCBS Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,318.26 | Professional | None | $741.31 | $977.24 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,691.53 | Facility | None | $602.56 | $1,174.90 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $870.96 Typical High $1,202.26 | Professional | None | $660.69 | $870.96 | $1,202.26 |
Lucent Health Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,888.44 | Professional | None | $5,248.07 | $5,248.07 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,479.11 | Professional | None | $588.84 | $794.33 | $1,479.11 |
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 $338.84 Median $346.74 Typical High $478.63 | Professional | 52 · Reduced service | $338.84 | $346.74 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $138.04 Typical High $190.55 | Professional | 53 · Discontinued | $134.90 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $512.86 Typical High $707.95 | Professional | 54 · Surgery only | $501.19 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $69.18 Typical High $95.50 | Professional | 56 · Pre-op care only | $67.61 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $467.74 Median $478.63 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $467.74 | $478.63 | $660.69 |
Where Tennessee sits
The same service costs 3.0 times more in Alaska 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
AK $5,643MD $1,856
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.