How much rates vary
Facilitymedian $2,630 · 10th to 90th $214 to $7,762Professionalmedian $174 · 10th to 90th $93 to $263
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $173.78 | Professional | None | $107.15 | $131.83 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $28,183.83 | Facility | None | $1,819.70 | $3,162.28 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $173.78 Typical High $234.42 | Professional | None | $100.00 | $173.78 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $208.93 Typical High $275.42 | Facility | None | $51.29 | $208.93 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $275.42 | Professional | None | $117.49 | $154.88 | $275.42 |
ConnectiCare Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $234.42 | Professional | None | $154.88 | $158.49 | $234.42 |
Health New England Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
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 $81.28 Median $151.36 Typical High $316.23 | Professional | None | $81.28 | $151.36 | $316.23 |
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 $56.23 Median $66.07 Typical High $87.10 | Professional | 52 · Reduced service | $56.23 | $66.07 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.92 Typical High $35.48 | Professional | 53 · Discontinued | $22.39 | $26.92 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $100.00 Typical High $131.83 | Professional | 54 · Surgery only | $85.11 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $19.95 Typical High $26.30 | Professional | 55 · Aftercare only | $16.98 | $19.95 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $13.18 Typical High $17.38 | Professional | 56 · Pre-op care only | $11.22 | $13.18 | $17.38 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | 78 · Unplanned return to OR | $79.43 | $93.33 | $123.03 |
Where Connecticut sits
The same service costs 13.1 times more in Hawaii than in Maryland. 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
HI $2,944MD $224
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.