How much rates vary
Facilitymedian $4,898 · 10th to 90th $813 to $12,303Professionalmedian $661 · 10th to 90th $407 to $1,122
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 $457.09 Median $588.84 Typical High $851.14 | Professional | None | $457.09 | $588.84 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $12,302.69 Typical High $28,183.83 | Facility | None | $2,754.23 | $12,302.69 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $977.24 | Professional | None | $489.78 | $707.95 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,388.44 Typical High $4,265.80 | Facility | None | $851.14 | $3,388.44 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $1,202.26 | Professional | None | $407.38 | $645.65 | $1,202.26 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,000.00 | Professional | None | $676.08 | $758.58 | $1,000.00 |
Health New England Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $616.60 | Professional | None | $323.59 | $323.59 | $616.60 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $338.84 Median $676.08 Typical High $1,513.56 | Professional | None | $338.84 | $676.08 | $1,513.56 |
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 $263.03 Median $295.12 Typical High $426.58 | Professional | 52 · Reduced service | $263.03 | $295.12 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $117.49 Typical High $169.82 | Professional | 53 · Discontinued | $104.71 | $117.49 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $446.68 Typical High $645.65 | Professional | 54 · Surgery only | $398.11 | $446.68 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $89.13 Typical High $128.82 | Professional | 55 · Aftercare only | $79.43 | $89.13 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $58.88 Typical High $85.11 | Professional | 56 · Pre-op care only | $52.48 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $416.87 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $371.54 | $416.87 | $602.56 |
Where Connecticut sits
The same service costs 5.8 times more in Alabama than in Montana. 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
AL $8,423MT $1,458
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.