How much rates vary
Facilitymedian $5,623 · 10th to 90th $851 to $13,804Professionalmedian $676 · 10th to 90th $380 to $1,202
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 $6,309.57 Typical High $8,317.64 | Facility | None | $3,467.37 | $6,309.57 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $707.95 Typical High $741.31 | Professional | None | $416.87 | $707.95 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $8,912.51 Typical High $16,218.10 | Facility | None | $2,818.38 | $8,912.51 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $630.96 Typical High $1,202.26 | Professional | None | $363.08 | $630.96 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $5,623.41 Typical High $6,918.31 | Facility | None | $851.14 | $5,623.41 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $977.24 | Professional | None | $537.03 | $724.44 | $977.24 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $707.95 Typical High $3,981.07 | Facility | None | $512.86 | $707.95 | $3,981.07 |
ConnectiCare Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $812.83 | Professional | None | $676.08 | $812.83 | $812.83 |
Health New England Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,912.51 | Facility | None | $776.25 | $4,786.30 | $8,912.51 |
United Setting Professional Modifier None Typical Low $380.19 Median $616.60 Typical High $1,230.27 | Professional | None | $380.19 | $616.60 | $1,230.27 |
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 $223.87 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $223.87 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $89.13 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $331.13 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $66.07 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $44.67 | $70.79 | $70.79 |
Where Connecticut sits
The same service costs 6.4 times more in Alaska 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
AK $7,574MT $1,191
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.