How much rates vary
Facilitymedian $3,890 · 10th to 90th $813 to $8,318Professionalmedian $1,148 · 10th to 90th $646 to $1,820
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $1,202.26 Typical High $1,202.26 | Professional | None | $741.31 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,513.56 | Professional | None | $616.60 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $2,691.53 | Facility | None | $851.14 | $1,995.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,122.02 Typical High $1,995.26 | Professional | None | $1,047.13 | $1,122.02 | $1,995.26 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,258.93 | Professional | None | $794.33 | $912.01 | $1,258.93 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $575.44 Median $1,023.29 Typical High $2,137.96 | Professional | None | $575.44 | $1,023.29 | $2,137.96 |
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 $407.38 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $407.38 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $162.18 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $616.60 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $123.03 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $81.28 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $851.14 Typical High $851.14 | Professional | 78 · Unplanned return to OR | $575.44 | $851.14 | $851.14 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.