How much rates vary
Facilitymedian $2,291 · 10th to 90th $288 to $6,761Professionalmedian $724 · 10th to 90th $437 to $1,202
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 $478.63 Median $676.08 Typical High $724.44 | Professional | None | $478.63 | $676.08 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $10,471.29 | Facility | None | $1,819.70 | $3,162.28 | $10,471.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $794.33 Typical High $1,096.48 | Professional | None | $436.52 | $794.33 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $1,174.90 Typical High $1,621.81 | Professional | 50 · Both sides | $630.96 | $1,174.90 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $1,000.00 | Facility | None | $269.15 | $316.23 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $1,174.90 | Professional | None | $630.96 | $724.44 | $1,174.90 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $870.96 | Professional | None | $660.69 | $707.95 | $870.96 |
Health New England Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $354.81 Median $691.83 Typical High $1,348.96 | Professional | None | $354.81 | $691.83 | $1,348.96 |
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 $239.88 Median $338.84 Typical High $363.08 | Professional | 52 · Reduced service | $239.88 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $95.50 | $134.90 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $501.19 Typical High $549.54 | Professional | 54 · Surgery only | $363.08 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $72.44 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $67.61 Typical High $72.44 | Professional | 56 · Pre-op care only | $47.86 | $67.61 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $467.74 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $338.84 | $467.74 | $512.86 |
Where Connecticut sits
The same service costs 4.7 times more in New York than in Florida. 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
NY $3,038FL $649
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.