How much rates vary
Facilitymedian $4,169 · 10th to 90th $537 to $9,550Professionalmedian $417 · 10th to 90th $275 to $562
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 $346.74 Median $3,467.37 Typical High $5,011.87 | Facility | None | $346.74 | $3,467.37 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $407.38 | Professional | None | $316.23 | $346.74 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $5,370.32 Typical High $9,549.93 | Facility | None | $741.31 | $5,370.32 | $9,549.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $426.58 Typical High $575.44 | Professional | None | $257.04 | $426.58 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $851.14 Typical High $2,691.53 | Facility | None | $512.86 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $562.34 | Professional | None | $295.12 | $416.87 | $562.34 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $2,187.76 | Facility | None | $630.96 | $812.83 | $2,187.76 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $512.86 | Professional | None | $316.23 | $380.19 | $512.86 |
United Setting Facility Modifier None Typical Low $302.00 Median $2,290.87 Typical High $10,232.93 | Facility | None | $302.00 | $2,290.87 | $10,232.93 |
United Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $616.60 | Professional | None | $295.12 | $426.58 | $616.60 |
5 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 $154.88 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $257.04 Typical High $288.40 | Professional | 54 · Surgery only | $234.42 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | 56 · Pre-op care only | $30.90 | $34.67 | $38.90 |
Where Indiana sits
The same service costs 6.1 times more in Alaska 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
AK $5,496MD $901
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.