How much rates vary
Facilitymedian $13,183 · 10th to 90th $1,820 to $30,903Professionalmedian $4,786 · 10th to 90th $661 to $13,804
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 $5,248.07 Median $9,549.93 Typical High $18,197.01 | Facility | None | $5,248.07 | $9,549.93 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $912.01 Typical High $11,220.18 | Professional | None | $524.81 | $912.01 | $11,220.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $30,902.95 Typical High $36,307.81 | Facility | None | $2,137.96 | $30,902.95 | $36,307.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $4,786.30 Typical High $13,803.84 | Professional | None | $676.08 | $4,786.30 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $25,118.86 Typical High $31,622.78 | Facility | None | $851.14 | $25,118.86 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,380.38 Typical High $11,748.98 | Professional | None | $758.58 | $1,380.38 | $11,748.98 |
ConnectiCare Setting Professional Modifier None Typical Low $10,964.78 Median $10,964.78 Typical High $12,022.64 | Professional | None | $10,964.78 | $10,964.78 | $12,022.64 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $11,748.98 Typical High $17,782.79 | Facility | None | $1,737.80 | $11,748.98 | $17,782.79 |
United Setting Professional Modifier None Typical Low $575.44 Median $2,951.21 Typical High $18,197.01 | Professional | None | $575.44 | $2,951.21 | $18,197.01 |
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 $389.05 Median $457.09 Typical High $5,623.41 | Professional | 52 · Reduced service | $389.05 | $457.09 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $181.97 Typical High $2,238.72 | Professional | 53 · Discontinued | $154.88 | $181.97 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $691.83 Typical High $8,317.64 | Professional | 54 · Surgery only | $588.84 | $691.83 | $8,317.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $138.04 Typical High $1,659.59 | Professional | 55 · Aftercare only | $117.49 | $138.04 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $91.20 Typical High $1,122.02 | Professional | 56 · Pre-op care only | $77.62 | $91.20 | $1,122.02 |
Where Connecticut sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.