How much rates vary
Facilitymedian $15,136 · 10th to 90th $1,585 to $61,660Professionalmedian $871 · 10th to 90th $537 to $1,288
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 $3,467.37 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 $537.03 Median $870.96 Typical High $912.01 | Professional | None | $537.03 | $870.96 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,128.31 Median $36,307.81 Typical High $74,131.02 | Facility | None | $8,128.31 | $36,307.81 | $74,131.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $831.76 Typical High $1,230.27 | Professional | None | $512.86 | $831.76 | $1,230.27 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $758.58 Median $1,230.27 Typical High $1,862.09 | Professional | 50 · Both sides | $758.58 | $1,230.27 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $50,118.72 Typical High $50,118.72 | Facility | None | $741.31 | $50,118.72 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $1,348.96 | Professional | None | $758.58 | $831.76 | $1,348.96 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None | $954.99 | $954.99 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $11,748.98 Typical High $17,782.79 | Facility | None | $1,737.80 | $11,748.98 | $17,782.79 |
United Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,698.24 | Professional | None | $537.03 | $758.58 | $1,698.24 |
6 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 $295.12 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $295.12 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $117.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $660.69 Typical High $660.69 | Professional | 54 · Surgery only | $446.68 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | 55 · Aftercare only | $89.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $87.10 Typical High $87.10 | Professional | 56 · Pre-op care only | $58.88 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $616.60 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $416.87 | $616.60 | $616.60 |
Where Connecticut sits
The same service costs 24.6 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 $43,875MT $1,787
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.