How much rates vary
Facilitymedian $1,622 · 10th to 90th $269 to $6,761Professionalmedian $468 · 10th to 90th $275 to $759
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 $1,698.24 Median $5,754.40 Typical High $8,511.38 | Facility | None | $1,698.24 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $467.74 | Professional | None | $295.12 | $407.38 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $691.83 | Professional | None | $295.12 | $524.81 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $288.40 Typical High $371.54 | Facility | None | $51.29 | $288.40 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $446.68 Typical High $741.31 | Professional | None | $363.08 | $446.68 | $741.31 |
ConnectiCare Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $588.84 | Professional | None | $436.52 | $478.63 | $588.84 |
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 $229.09 Median $436.52 Typical High $851.14 | Professional | None | $229.09 | $436.52 | $851.14 |
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 $151.36 Median $204.17 Typical High $234.42 | Professional | 52 · Reduced service | $151.36 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $81.28 Typical High $93.33 | Professional | 53 · Discontinued | $60.26 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $302.00 Typical High $354.81 | Professional | 54 · Surgery only | $229.09 | $302.00 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $61.66 Typical High $70.79 | Professional | 55 · Aftercare only | $45.71 | $61.66 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $40.74 Typical High $46.77 | Professional | 56 · Pre-op care only | $30.20 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $281.84 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $213.80 | $281.84 | $331.13 |
Where Connecticut sits
The same service costs 6.7 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 $2,828FL $419
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.