How much rates vary
Facilitymedian $2,630 · 10th to 90th $324 to $6,607Professionalmedian $501 · 10th to 90th $288 to $794
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 $389.05 Median $512.86 Typical High $524.81 | Professional | None | $389.05 | $512.86 | $524.81 |
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 $309.03 Median $588.84 Typical High $758.58 | Professional | None | $309.03 | $588.84 | $758.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $870.96 Typical High $1,122.02 | Professional | 50 · Both sides | $457.09 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $371.54 Typical High $478.63 | Facility | None | $51.29 | $371.54 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $416.87 Typical High $741.31 | Professional | None | $281.84 | $416.87 | $741.31 |
ConnectiCare Setting Professional Modifier None Typical Low $245.47 Median $407.38 Typical High $549.54 | Professional | None | $245.47 | $407.38 | $549.54 |
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 $295.12 Median $398.11 Typical High $1,096.48 | Professional | None | $295.12 | $398.11 | $1,096.48 |
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 $194.98 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $194.98 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $102.33 Typical High $104.71 | Professional | 53 · Discontinued | $77.62 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $288.40 Median $389.05 Typical High $389.05 | Professional | 54 · Surgery only | $288.40 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | 55 · Aftercare only | $57.54 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $51.29 Typical High $52.48 | Professional | 56 · Pre-op care only | $38.90 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $269.15 Median $363.08 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $269.15 | $363.08 | $363.08 |
Where Connecticut sits
The same service costs 7.4 times more in Hawaii than in Florida. 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 $3,255FL $440
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.