How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,122 to $11,482Professionalmedian $1,288 · 10th to 90th $724 to $2,042
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 $891.25 Median $1,258.93 Typical High $1,258.93 | Professional | None | $891.25 | $1,258.93 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $12,022.64 | Facility | None | $2,754.23 | $3,890.45 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,380.38 Typical High $2,041.74 | Professional | None | $724.44 | $1,380.38 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $213.80 Typical High $323.59 | Professional | 80 · Assistant surgeon | $117.49 | $213.80 | $323.59 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $190.55 Typical High $288.40 | Professional | AS · PA/NP assist | $102.33 | $190.55 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $1,819.70 | Professional | None | $1,230.27 | $1,412.54 | $1,819.70 |
ConnectiCare Setting Professional Modifier None Typical Low $812.83 Median $1,258.93 Typical High $1,548.82 | Professional | None | $812.83 | $1,258.93 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $2,187.76 | Professional | None | $630.96 | $1,202.26 | $2,187.76 |
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 $446.68 Median $630.96 Typical High $630.96 | Professional | 52 · Reduced service | $446.68 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $177.83 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $660.69 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $190.55 Typical High $190.55 | Professional | 55 · Aftercare only | $131.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $125.89 Typical High $125.89 | Professional | 56 · Pre-op care only | $89.13 | $125.89 | $125.89 |
Where Connecticut sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $9,843KY $2,122
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.