How much rates vary
Facilitymedian $3,890 · 10th to 90th $1,318 to $10,715Professionalmedian $2,239 · 10th to 90th $1,202 to $5,129
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 $4,365.16 Median $7,244.36 Typical High $17,378.01 | Facility | None | $4,365.16 | $7,244.36 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,584.89 | Professional | None | $912.01 | $912.01 | $1,584.89 |
BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $9,332.54 Typical High $18,620.87 | Facility | None | $6,918.31 | $9,332.54 | $18,620.87 |
BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $4,786.30 Typical High $5,128.61 | Professional | None | $4,466.84 | $4,786.30 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $3,235.94 Typical High $4,073.80 | Facility | None | $1,096.48 | $3,235.94 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,344.23 | Professional | None | $1,819.70 | $2,137.96 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,318.26 Median $2,951.21 Typical High $17,378.01 | Facility | None | $1,318.26 | $2,951.21 | $17,378.01 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,238.72 Typical High $7,413.10 | Professional | None | $1,202.26 | $2,238.72 | $7,413.10 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,238.72 | $2,951.21 |
Midlands Setting Facility Modifier None Typical Low $1,096.48 Median $3,235.94 Typical High $5,248.07 | Facility | None | $1,096.48 | $3,235.94 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,659.59 | $2,238.72 | $3,162.28 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,019.95 Typical High $6,606.93 | Facility | None | $1,380.38 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,818.38 | Professional | None | $1,202.26 | $1,995.26 | $2,818.38 |
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 $457.09 Median $457.09 Typical High $794.33 | Professional | 52 · Reduced service | $457.09 | $457.09 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | 53 · Discontinued | $181.97 | $181.97 | $316.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $1,202.26 | Professional | 54 · Surgery only | $676.08 | $676.08 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $239.88 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $1,122.02 |
Where Nebraska sits
The same service costs 4.0 times more in Alaska than in Hawaii. 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 $10,681HI $2,676
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.