How much rates vary
Facilitymedian $2,630 · 10th to 90th $234 to $6,607Professionalmedian $182 · 10th to 90th $87 to $302
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $204.17 | Professional | None | $117.49 | $138.04 | $204.17 |
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 $87.10 Median $151.36 Typical High $245.47 | Professional | None | $87.10 | $151.36 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $234.42 Typical High $302.00 | Facility | None | $51.29 | $234.42 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $380.19 | Professional | None | $138.04 | $263.03 | $380.19 |
ConnectiCare Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | None | $223.87 | $234.42 | $234.42 |
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 $100.00 Median $186.21 Typical High $323.59 | Professional | None | $100.00 | $186.21 | $323.59 |
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 $58.88 Median $64.57 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $64.57 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.30 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $26.30 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $97.72 Typical High $151.36 | Professional | 54 · Surgery only | $87.10 | $97.72 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $19.50 Typical High $30.20 | Professional | 55 · Aftercare only | $17.38 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.88 Typical High $20.42 | Professional | 56 · Pre-op care only | $11.75 | $12.88 | $20.42 |
Where Connecticut sits
The same service costs 11.6 times more in Hawaii 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
HI $3,027MD $261
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.