How much rates vary
Facilitymedian $4,169 · 10th to 90th $813 to $7,943Professionalmedian $832 · 10th to 90th $513 to $1,380
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $794.33 | Professional | None | $562.34 | $602.56 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $891.25 Typical High $1,380.38 | Professional | None | $537.03 | $891.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,090.30 Typical High $3,801.89 | Facility | None | $741.31 | $3,090.30 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,096.48 | Professional | None | $588.84 | $758.58 | $1,096.48 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $912.01 | Professional | None | $870.96 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $446.68 Median $812.83 Typical High $1,659.59 | Professional | None | $446.68 | $812.83 | $1,659.59 |
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 $281.84 Median $302.00 Typical High $398.11 | Professional | 52 · Reduced service | $281.84 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $120.23 Typical High $158.49 | Professional | 53 · Discontinued | $112.20 | $120.23 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $446.68 Typical High $602.56 | Professional | 54 · Surgery only | $416.87 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | 55 · Aftercare only | $83.18 | $89.13 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $60.26 Typical High $79.43 | Professional | 56 · Pre-op care only | $56.23 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $416.87 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $389.05 | $416.87 | $562.34 |
Where Connecticut sits
The same service costs 4.6 times more in Oklahoma 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
OK $6,614MT $1,440
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.