How much rates vary
Facilitymedian $3,715 · 10th to 90th $933 to $13,804Professionalmedian $324 · 10th to 90th $191 to $479
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $416.87 | Professional | None | $218.78 | $288.40 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $8,128.31 Typical High $17,782.79 | Facility | None | $3,548.13 | $8,128.31 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $416.87 | Professional | None | $190.55 | $302.00 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,290.87 Typical High $2,884.03 | Facility | None | $758.58 | $2,290.87 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $575.44 | Professional | None | $245.47 | $407.38 | $575.44 |
ConnectiCare Setting Professional Modifier None Typical Low $363.08 Median $380.19 Typical High $380.19 | Professional | None | $363.08 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $223.87 Median $371.54 Typical High $660.69 | Professional | None | $223.87 | $371.54 | $660.69 |
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 $134.90 Median $144.54 Typical High $204.17 | Professional | 52 · Reduced service | $134.90 | $144.54 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $83.18 | Professional | 53 · Discontinued | $54.95 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $213.80 Typical High $309.03 | Professional | 54 · Surgery only | $204.17 | $213.80 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $43.65 Typical High $61.66 | Professional | 55 · Aftercare only | $40.74 | $43.65 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $28.84 Typical High $41.69 | Professional | 56 · Pre-op care only | $27.54 | $28.84 | $41.69 |
Where Connecticut sits
The same service costs 6.1 times more in Michigan 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
MI $4,783MT $790
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.