How much rates vary
Facilitymedian $2,399 · 10th to 90th $631 to $6,166Professionalmedian $776 · 10th to 90th $170 to $3,020
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 $138.04 Median $831.76 Typical High $1,513.56 | Professional | None | $138.04 | $831.76 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,691.53 Typical High $7,762.47 | Facility | None | $794.33 | $2,691.53 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $870.96 Typical High $3,019.95 | Professional | None | $213.80 | $870.96 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,584.89 Typical High $2,818.38 | Facility | None | $741.31 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $1,862.09 | Professional | None | $186.21 | $281.84 | $1,862.09 |
ConnectiCare Setting Professional Modifier None Typical Low $1,318.26 Median $1,621.81 Typical High $2,089.30 | Professional | None | $1,318.26 | $1,621.81 | $2,089.30 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,174.90 Typical High $5,888.44 | Facility | None | $501.19 | $1,174.90 | $5,888.44 |
United Setting Professional Modifier None Typical Low $120.23 Median $794.33 Typical High $2,511.89 | Professional | None | $120.23 | $794.33 | $2,511.89 |
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 $66.07 Median $371.54 Typical High $741.31 | Professional | 52 · Reduced service | $66.07 | $371.54 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $147.91 Typical High $295.12 | Professional | 53 · Discontinued | $26.92 | $147.91 | $295.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $562.34 Typical High $1,096.48 | Professional | 54 · Surgery only | $100.00 | $562.34 | $1,096.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $112.20 Typical High $218.78 | Professional | 55 · Aftercare only | $19.95 | $112.20 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $74.13 Typical High $147.91 | Professional | 56 · Pre-op care only | $13.18 | $74.13 | $147.91 |
Where Connecticut sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.