How much rates vary
Facilitymedian $2,138 · 10th to 90th $275 to $6,918Professionalmedian $117 · 10th to 90th $56 to $195
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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $93.33 Typical High $165.96 | Professional | None | $72.44 | $93.33 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $100.00 Typical High $162.18 | Professional | None | $56.23 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $1,000.00 | Facility | None | $50.12 | $51.29 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $208.93 | Professional | None | $81.28 | $138.04 | $208.93 |
ConnectiCare Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $147.91 | Professional | None | $141.25 | $147.91 | $147.91 |
Health New England Setting Facility Modifier None Typical Low $257.04 Median $275.42 Typical High $588.84 | Facility | None | $257.04 | $275.42 | $588.84 |
Health New England Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $63.10 Median $117.49 Typical High $218.78 | Professional | None | $63.10 | $117.49 | $218.78 |
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 $36.31 Median $41.69 Typical High $69.18 | Professional | 52 · Reduced service | $36.31 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.60 Typical High $27.54 | Professional | 53 · Discontinued | $14.45 | $16.60 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $54.95 Median $63.10 Typical High $102.33 | Professional | 54 · Surgery only | $54.95 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $12.59 Typical High $20.42 | Professional | 55 · Aftercare only | $10.96 | $12.59 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $8.32 Typical High $13.80 | Professional | 56 · Pre-op care only | $7.24 | $8.32 | $13.80 |
Where Connecticut sits
The same service costs 12.9 times more in Colorado than in Maine. 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
CO $2,408ME $187
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.