How much rates vary
Facilitymedian $7,943 · 10th to 90th $1,122 to $17,783Professionalmedian $4,898 · 10th to 90th $646 to $15,849
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 $4,570.88 Median $7,585.78 Typical High $12,302.69 | Facility | None | $4,570.88 | $7,585.78 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $3,715.35 Typical High $10,232.93 | Professional | None | $501.19 | $3,715.35 | $10,232.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $15,848.93 Typical High $18,620.87 | Facility | None | $1,122.02 | $15,848.93 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $5,754.40 Typical High $15,848.93 | Professional | None | $831.76 | $5,754.40 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $15,848.93 Typical High $19,498.45 | Facility | None | $851.14 | $15,848.93 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $1,096.48 Typical High $13,182.57 | Professional | None | $707.95 | $1,096.48 | $13,182.57 |
ConnectiCare Setting Professional Modifier None Typical Low $7,244.36 Median $10,232.93 Typical High $12,882.50 | Professional | None | $7,244.36 | $10,232.93 | $12,882.50 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $457.09 Median $4,168.69 Typical High $18,197.01 | Professional | None | $457.09 | $4,168.69 | $18,197.01 |
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 $251.19 Median $2,570.40 Typical High $5,128.61 | Professional | 52 · Reduced service | $251.19 | $2,570.40 | $5,128.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $1,023.29 Typical High $2,041.74 | Professional | 53 · Discontinued | $100.00 | $1,023.29 | $2,041.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $3,801.89 Typical High $7,585.78 | Professional | 54 · Surgery only | $380.19 | $3,801.89 | $7,585.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $758.58 Typical High $1,548.82 | Professional | 55 · Aftercare only | $75.86 | $758.58 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $512.86 Typical High $1,023.29 | Professional | 56 · Pre-op care only | $50.12 | $512.86 | $1,023.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $3,548.13 Typical High $7,079.46 | Professional | 78 · Unplanned return to OR | $354.81 | $3,548.13 | $7,079.46 |
Where Connecticut sits
The same service costs 4.1 times more in Iowa than in Delaware. 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
IA $18,453DE $4,539
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.