How much rates vary
Facilitymedian $2,291 · 10th to 90th $537 to $6,607Professionalmedian $174 · 10th to 90th $112 to $288
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 $3,235.94 Median $4,570.88 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,570.88 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $173.78 | Professional | None | $120.23 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $3,162.28 Typical High $7,762.47 | Facility | None | $1,819.70 | $3,162.28 | $7,762.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $263.03 | Professional | None | $97.72 | $173.78 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,479.11 | Facility | None | $501.19 | $831.76 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $288.40 | Professional | None | $154.88 | $204.17 | $288.40 |
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 $208.93 Median $223.87 Typical High $223.87 | Professional | None | $208.93 | $223.87 | $223.87 |
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 $109.65 Median $173.78 Typical High $338.84 | Professional | None | $109.65 | $173.78 | $338.84 |
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 $60.26 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | 54 · Surgery only | $91.20 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $25.70 Typical High $25.70 | Professional | 55 · Aftercare only | $18.20 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $17.38 Typical High $17.38 | Professional | 56 · Pre-op care only | $12.02 | $17.38 | $17.38 |
Where Connecticut sits
The same service costs 8.1 times more in New York 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
NY $2,852MT $352
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.