How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,000 to $12,303Professionalmedian $501 · 10th to 90th $282 to $741
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 $3,801.89 Median $6,309.57 Typical High $8,511.38 | Facility | None | $3,801.89 | $6,309.57 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $446.68 Typical High $446.68 | Professional | None | $281.84 | $446.68 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $8,912.51 Typical High $13,489.63 | Facility | None | $2,398.83 | $8,912.51 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $707.95 | Professional | None | $288.40 | $549.54 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $6,918.31 Typical High $8,511.38 | Facility | None | $851.14 | $6,918.31 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $489.78 Typical High $691.83 | Professional | None | $363.08 | $489.78 | $691.83 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | None | $309.03 | $416.87 | $524.81 |
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 $239.88 Median $436.52 Typical High $954.99 | Professional | None | $239.88 | $436.52 | $954.99 |
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 $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $141.25 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $56.23 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $208.93 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $42.66 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $28.18 | $44.67 | $44.67 |
Where Connecticut sits
The same service costs 10.4 times more in Wyoming 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
WY $8,979MT $863
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.