How much rates vary
Facilitymedian $1,950 · 10th to 90th $288 to $5,754Professionalmedian $100 · 10th to 90th $66 to $219
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 $912.01 Median $4,466.84 Typical High $7,585.78 | Facility | None | $912.01 | $4,466.84 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $154.88 | Professional | None | $69.18 | $107.15 | $154.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $141.25 | Professional | None | $61.66 | $85.11 | $141.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $93.33 Median $128.82 Typical High $213.80 | Professional | 50 · Both sides | $93.33 | $128.82 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $2,691.53 | Facility | None | $426.58 | $851.14 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $154.88 Typical High $229.09 | Professional | None | $97.72 | $154.88 | $229.09 |
ConnectiCare Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $173.78 | Professional | None | $95.50 | $141.25 | $173.78 |
Health New England Setting Facility Modifier None Typical Low $1,047.13 Median $2,511.89 Typical High $3,715.35 | Facility | None | $1,047.13 | $2,511.89 | $3,715.35 |
Health New England Setting Professional Modifier None Typical Low $109.65 Median $234.42 Typical High $389.05 | Professional | None | $109.65 | $234.42 | $389.05 |
United Setting Facility Modifier None Typical Low $251.19 Median $1,548.82 Typical High $4,466.84 | Facility | None | $251.19 | $1,548.82 | $4,466.84 |
United Setting Professional Modifier None Typical Low $52.48 Median $114.82 Typical High $275.42 | Professional | None | $52.48 | $114.82 | $275.42 |
1 more rate 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 54 · Surgery only Typical Low $69.18 Median $72.44 Typical High $114.82 | Professional | 54 · Surgery only | $69.18 | $72.44 | $114.82 |
Where Connecticut sits
The same service costs 14.3 times more in Hawaii than in Delaware. 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
HI $2,939DE $205
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.