How much rates vary
Facilitymedian $6,457 · 10th to 90th $891 to $12,303Professionalmedian $1,995 · 10th to 90th $1,175 to $3,020
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 $1,318.26 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,318.26 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $2,187.76 Typical High $2,951.21 | Professional | None | $1,174.90 | $2,187.76 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,737.80 Median $3,235.94 Typical High $4,466.84 | Professional | 50 · Both sides | $1,737.80 | $3,235.94 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $10,232.93 Typical High $12,589.25 | Facility | None | $851.14 | $10,232.93 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,819.70 | $2,041.74 | $2,951.21 |
ConnectiCare Setting Professional Modifier None Typical Low $1,445.44 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,445.44 | $1,778.28 | $2,187.76 |
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 $1,000.00 Median $1,905.46 Typical High $3,467.37 | Professional | None | $1,000.00 | $1,905.46 | $3,467.37 |
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 $660.69 Median $954.99 Typical High $954.99 | Professional | 52 · Reduced service | $660.69 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $389.05 Typical High $389.05 | Professional | 53 · Discontinued | $263.03 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,445.44 Typical High $1,445.44 | Professional | 54 · Surgery only | $1,000.00 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $199.53 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $131.83 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Professional | 78 · Unplanned return to OR | $933.25 | $1,348.96 | $1,348.96 |
Where Connecticut sits
The same service costs 6.1 times more in Alaska than in Texas. 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 $14,041TX $2,290
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.