How much rates vary
Facilitymedian $10,000 · 10th to 90th $1,349 to $24,547Professionalmedian $891 · 10th to 90th $562 to $1,349
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 $4,570.88 Median $8,511.38 Typical High $11,481.54 | Facility | None | $4,570.88 | $8,511.38 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $954.99 | Professional | None | $645.65 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $22,908.68 Typical High $28,183.83 | Facility | None | $1,174.90 | $22,908.68 | $28,183.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,230.27 | Professional | None | $549.54 | $831.76 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $15,135.61 Typical High $19,054.61 | Facility | None | $851.14 | $15,135.61 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $891.25 Typical High $1,412.54 | Professional | None | $776.25 | $891.25 | $1,412.54 |
ConnectiCare Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,047.13 | Professional | None | $954.99 | $954.99 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $9,549.93 Typical High $18,197.01 | Facility | None | $1,348.96 | $9,549.93 | $18,197.01 |
United Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,905.46 | Professional | None | $549.54 | $831.76 | $1,905.46 |
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 $323.59 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $323.59 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $128.82 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $478.63 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $97.72 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $64.57 | $95.50 | $95.50 |
Where Connecticut sits
The same service costs 9.8 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 $17,480MT $1,783
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.