How much rates vary
Facilitymedian $8,128 · 10th to 90th $1,096 to $69,183Professionalmedian $631 · 10th to 90th $245 to $3,162
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 $3,311.31 Median $4,677.35 Typical High $10,471.29 | Facility | None | $3,311.31 | $4,677.35 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $354.81 | Professional | None | $245.47 | $331.13 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $28,183.83 Typical High $74,131.02 | Facility | None | $7,585.78 | $28,183.83 | $74,131.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $1,000.00 | Professional | None | $363.08 | $676.08 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $17,782.79 Typical High $21,379.62 | Facility | None | $549.54 | $17,782.79 | $21,379.62 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $6,309.57 | Professional | None | $263.03 | $323.59 | $6,309.57 |
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 $281.84 Median $363.08 Typical High $7,585.78 | Professional | None | $281.84 | $363.08 | $7,585.78 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $15,488.17 | Facility | None | $1,122.02 | $7,943.28 | $15,488.17 |
United Setting Professional Modifier None Typical Low $194.98 Median $1,071.52 Typical High $5,888.44 | Professional | None | $194.98 | $1,071.52 | $5,888.44 |
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 $123.03 Median $165.96 Typical High $169.82 | Professional | 52 · Reduced service | $123.03 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $66.07 Typical High $67.61 | Professional | 53 · Discontinued | $48.98 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $251.19 Typical High $257.04 | Professional | 54 · Surgery only | $186.21 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $50.12 Typical High $51.29 | Professional | 55 · Aftercare only | $37.15 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $33.11 Typical High $33.88 | Professional | 56 · Pre-op care only | $24.55 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $234.42 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $173.78 | $234.42 | $239.88 |
Where Connecticut sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.