How much rates vary
Facilitymedian $5,623 · 10th to 90th $891 to $14,125Professionalmedian $794 · 10th to 90th $437 to $1,230
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 $3,162.28 Median $6,165.95 Typical High $8,511.38 | Facility | None | $3,162.28 | $6,165.95 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $691.83 | Professional | None | $457.09 | $691.83 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $13,182.57 Typical High $16,218.10 | Facility | None | $977.24 | $13,182.57 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $977.24 Typical High $1,318.26 | Professional | None | $416.87 | $977.24 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $7,585.78 Typical High $9,549.93 | Facility | None | $851.14 | $7,585.78 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,096.48 | Professional | None | $588.84 | $776.25 | $1,096.48 |
ConnectiCare Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $758.58 | Professional | None | $489.78 | $630.96 | $758.58 |
Health New England Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,096.48 | Professional | None | $776.25 | $933.25 | $1,096.48 |
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 $407.38 Median $724.44 Typical High $1,584.89 | Professional | None | $407.38 | $724.44 | $1,584.89 |
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 $229.09 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $229.09 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $93.33 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $346.74 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $45.71 | $69.18 | $69.18 |
Where Connecticut sits
The same service costs 6.1 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 $8,625MT $1,416
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.