How much rates vary
Facilitymedian $3,890 · 10th to 90th $832 to $8,318Professionalmedian $851 · 10th to 90th $589 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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,047.13 | Professional | None | $724.44 | $891.25 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $4,786.30 | Facility | None | $2,754.23 | $3,715.35 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $851.14 Typical High $1,096.48 | Professional | None | $588.84 | $851.14 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,398.83 Typical High $3,090.30 | Facility | None | $851.14 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,479.11 | Professional | None | $724.44 | $912.01 | $1,479.11 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,000.00 | $1,047.13 | $1,047.13 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,659.59 | Professional | None | $602.56 | $933.25 | $1,659.59 |
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 $338.84 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $338.84 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $169.82 Typical High $208.93 | Professional | 53 · Discontinued | $138.04 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $645.65 Typical High $794.33 | Professional | 54 · Surgery only | $512.86 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $102.33 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $85.11 Typical High $104.71 | Professional | 56 · Pre-op care only | $67.61 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $602.56 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $478.63 | $602.56 | $741.31 |
Where Connecticut sits
The same service costs 3.1 times more in Alaska 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
AK $5,990MD $1,938
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.