How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,000 to $14,454Professionalmedian $1,698 · 10th to 90th $1,072 to $2,512
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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,148.15 | $1,905.46 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,023.29 | $1,584.89 | $2,238.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $2,344.23 Typical High $3,311.31 | Professional | 50 · Both sides | $1,513.56 | $2,344.23 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $6,165.95 Typical High $7,762.47 | Facility | None | $851.14 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,412.54 | $1,737.80 | $2,570.40 |
ConnectiCare Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,995.26 | Professional | None | $1,621.81 | $1,621.81 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,548.82 Typical High $2,951.21 | Professional | None | $1,023.29 | $1,548.82 | $2,951.21 |
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 $575.44 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $575.44 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $229.09 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $1,412.54 Typical High $1,412.54 | Professional | 54 · Surgery only | $870.96 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $173.78 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $114.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $1,318.26 Typical High $1,318.26 | Professional | 78 · Unplanned return to OR | $812.83 | $1,318.26 | $1,318.26 |
Where Connecticut sits
The same service costs 3.4 times more in Alaska 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
AK $11,546MT $3,436
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.