How much rates vary
Facilitymedian $3,548 · 10th to 90th $380 to $19,055Professionalmedian $513 · 10th to 90th $182 to $1,413
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 $3,311.31 Median $4,677.35 Typical High $10,471.29 | Facility | None | $3,311.31 | $4,677.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $263.03 Typical High $1,202.26 | Professional | None | $138.04 | $263.03 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,488.17 Median $18,197.01 Typical High $23,988.33 | Facility | None | $15,488.17 | $18,197.01 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $467.74 Typical High $1,479.11 | Professional | None | $194.98 | $467.74 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,265.80 | Facility | None | $501.19 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $354.81 Typical High $1,288.25 | Professional | None | $186.21 | $354.81 | $1,288.25 |
ConnectiCare Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
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 $162.18 Median $575.44 Typical High $1,949.84 | Professional | None | $162.18 | $575.44 | $1,949.84 |
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 $100.00 Median $131.83 Typical High $602.56 | Professional | 52 · Reduced service | $100.00 | $131.83 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $52.48 Typical High $239.88 | Professional | 53 · Discontinued | $40.74 | $52.48 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $199.53 Typical High $891.25 | Professional | 54 · Surgery only | $151.36 | $199.53 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $39.81 Typical High $177.83 | Professional | 55 · Aftercare only | $30.20 | $39.81 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $26.30 Typical High $120.23 | Professional | 56 · Pre-op care only | $20.42 | $26.30 | $120.23 |
Where Connecticut sits
The same service costs 17.4 times more in Alabama 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
AL $9,157MT $526
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.