How much rates vary
Facilitymedian $7,586 · 10th to 90th $1,000 to $14,454Professionalmedian $1,072 · 10th to 90th $617 to $1,479
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 $8,511.38 Typical High $11,481.54 | Facility | None | $4,570.88 | $8,511.38 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,288.25 | Professional | None | $758.58 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $14,125.38 Typical High $16,595.87 | Facility | None | $954.99 | $14,125.38 | $16,595.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,288.25 | Professional | None | $616.60 | $1,071.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,584.89 Typical High $1,905.46 | Professional | 50 · Both sides | $912.01 | $1,584.89 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $8,128.31 Typical High $10,232.93 | Facility | None | $851.14 | $8,128.31 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,023.29 Typical High $1,659.59 | Professional | None | $616.60 | $1,023.29 | $1,659.59 |
ConnectiCare Setting Facility Modifier None Typical Low $4,570.88 Median $5,754.40 Typical High $8,128.31 | Facility | None | $4,570.88 | $5,754.40 | $8,128.31 |
ConnectiCare Setting Professional Modifier None Typical Low $426.58 Median $707.95 Typical High $724.44 | Professional | None | $426.58 | $707.95 | $724.44 |
Health New England Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $977.24 | Professional | None | $954.99 | $954.99 | $977.24 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $6,165.95 Typical High $11,481.54 | Facility | None | $1,000.00 | $6,165.95 | $11,481.54 |
United Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $2,344.23 | Professional | None | $645.65 | $912.01 | $2,344.23 |
5 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 $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $407.38 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $162.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $616.60 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $81.28 | $107.15 | $107.15 |
Where Connecticut sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.