How much rates vary
Facilitymedian $3,890 · 10th to 90th $851 to $8,511Professionalmedian $1,047 · 10th to 90th $617 to $1,549
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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,148.15 | Professional | None | $851.14 | $1,148.15 | $1,148.15 |
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 $630.96 Median $1,122.02 Typical High $1,348.96 | Professional | None | $630.96 | $1,122.02 | $1,348.96 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $954.99 Median $1,659.59 Typical High $2,041.74 | Professional | 50 · Both sides | $954.99 | $1,659.59 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,630.27 Typical High $3,467.37 | Facility | None | $1,000.00 | $2,630.27 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,621.81 | Professional | None | $616.60 | $870.96 | $1,621.81 |
ConnectiCare Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $1,023.29 | Facility | None | $331.13 | $457.09 | $1,023.29 |
ConnectiCare Setting Professional Modifier None Typical Low $123.03 Median $630.96 Typical High $954.99 | Professional | None | $123.03 | $630.96 | $954.99 |
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 $616.60 Median $851.14 Typical High $2,398.83 | Professional | None | $616.60 | $851.14 | $2,398.83 |
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 $426.58 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $426.58 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $169.82 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $630.96 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $125.89 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $85.11 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $588.84 | $794.33 | $794.33 |
Where Connecticut sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.