How much rates vary
Facilitymedian $1,622 · 10th to 90th $269 to $6,761Professionalmedian $437 · 10th to 90th $251 to $724
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 $257.04 Median $380.19 Typical High $489.78 | Professional | None | $257.04 | $380.19 | $489.78 |
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 $281.84 Median $537.03 Typical High $691.83 | Professional | None | $281.84 | $537.03 | $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 $316.23 Median $389.05 Typical High $676.08 | Professional | None | $316.23 | $389.05 | $676.08 |
ConnectiCare Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $562.34 | Professional | None | $380.19 | $398.11 | $562.34 |
Health New England Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Health New England Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $199.53 Median $389.05 Typical High $776.25 | Professional | None | $199.53 | $389.05 | $776.25 |
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 $138.04 Median $190.55 Typical High $204.17 | Professional | 52 · Reduced service | $138.04 | $190.55 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $75.86 Typical High $81.28 | Professional | 53 · Discontinued | $54.95 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $281.84 Typical High $309.03 | Professional | 54 · Surgery only | $208.93 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $56.23 Typical High $61.66 | Professional | 55 · Aftercare only | $41.69 | $56.23 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $38.02 Typical High $40.74 | Professional | 56 · Pre-op care only | $27.54 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $263.03 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $194.98 | $263.03 | $288.40 |
Where Connecticut sits
The same service costs 6.4 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 $2,602FL $408
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.