How much rates vary
Facilitymedian $2,512 · 10th to 90th $759 to $9,550Professionalmedian $1,660 · 10th to 90th $912 to $2,951
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 $616.60 Median $933.25 Typical High $1,995.26 | Facility | None | $616.60 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $2,398.83 Typical High $2,951.21 | Professional | None | $933.25 | $2,398.83 | $2,951.21 |
BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $3,890.45 Typical High $6,309.57 | Facility | None | $630.96 | $3,890.45 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $1,548.82 Typical High $1,737.80 | Professional | None | $741.31 | $1,548.82 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,511.89 Typical High $12,302.69 | Facility | None | $1,122.02 | $2,511.89 | $12,302.69 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $2,137.96 | Professional | None | $912.01 | $1,047.13 | $2,137.96 |
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 $467.74 Median $1,202.26 Typical High $1,479.11 | Professional | 52 · Reduced service | $467.74 | $1,202.26 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $478.63 Typical High $588.84 | Professional | 53 · Discontinued | $186.21 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $691.83 Median $1,778.28 Typical High $2,187.76 | Professional | 54 · Surgery only | $691.83 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $354.81 Typical High $436.52 | Professional | 55 · Aftercare only | $138.04 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $239.88 Typical High $295.12 | Professional | 56 · Pre-op care only | $93.33 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $645.65 Median $1,659.59 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $645.65 | $1,659.59 | $2,041.74 |
Where Mississippi sits
The same service costs 4.4 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 $10,992HI $2,518
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.