How much rates vary
Facilitymedian $2,291 · 10th to 90th $537 to $6,607Professionalmedian $182 · 10th to 90th $120 to $339
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 $128.82 Median $181.97 Typical High $281.84 | Professional | None | $128.82 | $181.97 | $281.84 |
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 $117.49 Median $169.82 Typical High $229.09 | Professional | None | $117.49 | $169.82 | $229.09 |
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 $173.78 Median $263.03 Typical High $354.81 | Professional | None | $173.78 | $263.03 | $354.81 |
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 $263.03 Typical High $302.00 | Professional | None | $208.93 | $263.03 | $302.00 |
Health New England Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
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 $100.00 Median $194.98 Typical High $478.63 | Professional | None | $100.00 | $194.98 | $478.63 |
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 $79.43 Median $91.20 Typical High $141.25 | Professional | 52 · Reduced service | $79.43 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $36.31 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $138.04 Typical High $208.93 | Professional | 54 · Surgery only | $120.23 | $138.04 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $27.54 Typical High $41.69 | Professional | 55 · Aftercare only | $23.99 | $27.54 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $18.20 Typical High $28.18 | Professional | 56 · Pre-op care only | $15.85 | $18.20 | $28.18 |
Where Connecticut sits
The same service costs 6.3 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 $2,712MT $427
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.