How much rates vary
Facilitymedian $5,370 · 10th to 90th $776 to $14,125Professionalmedian $617 · 10th to 90th $380 to $912
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $645.65 Typical High $645.65 | Professional | None | $398.11 | $645.65 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $8,317.64 Typical High $16,218.10 | Facility | None | $4,786.30 | $8,317.64 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $870.96 | Professional | None | $363.08 | $588.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,165.95 Typical High $7,762.47 | Facility | None | $741.31 | $6,165.95 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $660.69 Typical High $933.25 | Professional | None | $524.81 | $660.69 | $933.25 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $346.74 Median $549.54 Typical High $1,122.02 | Professional | None | $346.74 | $549.54 | $1,122.02 |
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 $190.55 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $190.55 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $128.82 Typical High $128.82 | Professional | 53 · Discontinued | $75.86 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $281.84 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $56.23 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $38.02 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $263.03 | $457.09 | $457.09 |
Where Connecticut sits
The same service costs 6.6 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 $8,192MT $1,248
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.