How much rates vary
Facilitymedian $3,162 · 10th to 90th $631 to $7,943Professionalmedian $832 · 10th to 90th $501 to $1,349
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 $549.54 Median $758.58 Typical High $977.24 | Professional | None | $549.54 | $758.58 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $12,022.64 | Facility | None | $1,445.44 | $3,715.35 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $954.99 Typical High $1,288.25 | Professional | None | $524.81 | $954.99 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,445.44 Typical High $1,905.46 | Professional | 50 · Both sides | $776.25 | $1,445.44 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,862.09 Typical High $2,691.53 | Facility | None | $851.14 | $1,862.09 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,288.25 | Professional | None | $724.44 | $831.76 | $1,288.25 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $831.76 | Facility | None | $331.13 | $457.09 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,071.52 | Professional | None | $758.58 | $831.76 | $1,071.52 |
Health New England Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Health New England Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,071.52 | Professional | None | $724.44 | $1,071.52 | $1,071.52 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,479.11 | Professional | None | $426.58 | $776.25 | $1,479.11 |
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 $275.42 Median $380.19 Typical High $407.38 | Professional | 52 · Reduced service | $275.42 | $380.19 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $151.36 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $575.44 Typical High $602.56 | Professional | 54 · Surgery only | $416.87 | $575.44 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $114.82 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $75.86 Typical High $81.28 | Professional | 56 · Pre-op care only | $54.95 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $537.03 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $389.05 | $537.03 | $562.34 |
Where Connecticut sits
The same service costs 4.0 times more in Colorado 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
CO $4,440FL $1,118
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.