How much rates vary
Facilitymedian $3,715 · 10th to 90th $832 to $8,128Professionalmedian $813 · 10th to 90th $490 to $1,288
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $812.83 | Professional | None | $501.19 | $741.31 | $812.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,365.16 Typical High $10,964.78 | Facility | None | $3,548.13 | $4,365.16 | $10,964.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $501.19 Median $870.96 Typical High $1,230.27 | Professional | None | $501.19 | $870.96 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $741.31 Median $1,288.25 Typical High $1,862.09 | Professional | 50 · Both sides | $741.31 | $1,288.25 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,862.09 Typical High $2,398.83 | Facility | None | $741.31 | $1,862.09 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $1,288.25 | Professional | None | $691.83 | $794.33 | $1,288.25 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $758.58 | Facility | None | $331.13 | $457.09 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $954.99 | Professional | None | $758.58 | $812.83 | $954.99 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $398.11 Median $758.58 Typical High $1,479.11 | Professional | None | $398.11 | $758.58 | $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 $269.15 Median $371.54 Typical High $407.38 | Professional | 52 · Reduced service | $269.15 | $371.54 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $147.91 Typical High $162.18 | Professional | 53 · Discontinued | $109.65 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $549.54 Typical High $616.60 | Professional | 54 · Surgery only | $407.38 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $109.65 Typical High $123.03 | Professional | 55 · Aftercare only | $83.18 | $109.65 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $74.13 Typical High $81.28 | Professional | 56 · Pre-op care only | $54.95 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $512.86 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $380.19 | $512.86 | $575.44 |
Where Connecticut sits
The same service costs 4.0 times more in Colorado than in Alabama. 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 $5,057AL $1,277
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.