How much rates vary
Facilitymedian $3,548 · 10th to 90th $851 to $6,761Professionalmedian $479 · 10th to 90th $275 to $708
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 $2,754.23 Median $4,897.79 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $426.58 | Professional | None | $281.84 | $426.58 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,754.23 | $3,715.35 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $512.86 Typical High $691.83 | Professional | None | $269.15 | $512.86 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,454.71 | Facility | None | $741.31 | $1,905.46 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $616.60 | Professional | None | $354.81 | $436.52 | $616.60 |
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 $302.00 Median $398.11 Typical High $501.19 | Professional | None | $302.00 | $398.11 | $501.19 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $6,918.31 | Facility | None | $660.69 | $2,691.53 | $6,918.31 |
United Setting Professional Modifier None Typical Low $251.19 Median $436.52 Typical High $977.24 | Professional | None | $251.19 | $436.52 | $977.24 |
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 $141.25 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $57.54 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $316.23 Typical High $316.23 | Professional | 54 · Surgery only | $213.80 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $42.66 Typical High $42.66 | Professional | 56 · Pre-op care only | $28.84 | $42.66 | $42.66 |
Where Connecticut sits
The same service costs 5.2 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 $4,508MT $873
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.