How much rates vary
Facilitymedian $4,571 · 10th to 90th $759 to $13,804Professionalmedian $617 · 10th to 90th $389 to $955
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 $4,365.16 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,365.16 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $741.31 | Professional | None | $416.87 | $616.60 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $977.24 Median $10,000.00 Typical High $16,218.10 | Facility | None | $977.24 | $10,000.00 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $851.14 | Professional | None | $389.05 | $645.65 | $851.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $954.99 Typical High $1,288.25 | Professional | 50 · Both sides | $575.44 | $954.99 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $10,232.93 Typical High $12,589.25 | Facility | None | $549.54 | $10,232.93 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $1,000.00 | Professional | None | $489.78 | $630.96 | $1,000.00 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $562.34 | Facility | None | $331.13 | $446.68 | $562.34 |
ConnectiCare Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $851.14 | Professional | None | $676.08 | $676.08 | $851.14 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,258.93 | Professional | None | $363.08 | $549.54 | $1,258.93 |
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 $208.93 Median $309.03 Typical High $371.54 | Professional | 52 · Reduced service | $208.93 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $83.18 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $457.09 Typical High $549.54 | Professional | 54 · Surgery only | $309.03 | $457.09 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $61.66 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $61.66 Typical High $74.13 | Professional | 56 · Pre-op care only | $41.69 | $61.66 | $74.13 |
Where Connecticut sits
The same service costs 9.3 times more in Wyoming 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
WY $10,585DE $1,135
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.