How much rates vary
Facilitymedian $3,548 · 10th to 90th $661 to $7,943Professionalmedian $389 · 10th to 90th $229 to $550
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 $5,754.40 Typical High $8,511.38 | Facility | None | $4,365.16 | $5,754.40 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $389.05 Typical High $416.87 | Professional | None | $251.19 | $389.05 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $549.54 | Professional | None | $229.09 | $389.05 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $27,542.29 | Facility | None | $501.19 | $1,000.00 | $27,542.29 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $380.19 Typical High $588.84 | Professional | None | $275.42 | $380.19 | $588.84 |
ConnectiCare Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | None | $363.08 | $363.08 | $426.58 |
United Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $7,413.10 | Facility | None | $537.03 | $1,258.93 | $7,413.10 |
United Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $812.83 | Professional | None | $245.47 | $407.38 | $812.83 |
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 $128.82 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $128.82 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $51.29 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $295.12 Typical High $295.12 | Professional | 54 · Surgery only | $190.55 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $38.02 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $25.70 | $38.90 | $38.90 |
Where Connecticut sits
The same service costs 7.3 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 $5,199MT $710
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.