How much rates vary
Facilitymedian $4,898 · 10th to 90th $1,349 to $4,898Professionalmedian $933 · 10th to 90th $646 to $1,318
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 $776.25 Median $1,318.26 Typical High $2,398.83 | Facility | None | $776.25 | $1,318.26 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $1,318.26 Typical High $1,318.26 | Professional | None | $645.65 | $1,318.26 | $1,318.26 |
Ambetter Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $691.83 | Professional | None | $398.11 | $537.03 | $691.83 |
BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,148.15 | Professional | None | $851.14 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,801.89 Typical High $4,786.30 | Facility | None | $549.54 | $3,801.89 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $724.44 Typical High $1,071.52 | Professional | None | $616.60 | $724.44 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $3,090.30 Typical High $6,456.54 | Facility | None | $1,202.26 | $3,090.30 | $6,456.54 |
United Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $954.99 | Professional | None | $575.44 | $676.08 | $954.99 |
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 $660.69 Typical High $660.69 | Professional | 52 · Reduced service | $467.74 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $186.21 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $977.24 Typical High $977.24 | Professional | 54 · Surgery only | $707.95 | $977.24 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $141.25 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $93.33 | $131.83 | $131.83 |
BCBS Setting Facility Modifier 50 · Both sides Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | 50 · Both sides | $7,413.10 | $7,413.10 | $7,413.10 |
Where Alabama sits
The same service costs 5.9 times more in Alaska than in Montana. 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 $12,304MT $2,095
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.