How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,047 to $15,136Professionalmedian $2,188 · 10th to 90th $1,318 to $3,236
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 $16,218.10 | Facility | None | $4,570.88 | $8,511.38 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,380.38 | $2,238.72 | $2,238.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $13,803.84 Typical High $16,218.10 | Facility | None | $954.99 | $13,803.84 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $2,089.30 Typical High $3,090.30 | Professional | None | $1,258.93 | $2,089.30 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $3,162.28 Typical High $4,677.35 | Professional | 50 · Both sides | $1,862.09 | $3,162.28 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $6,309.57 Typical High $7,762.47 | Facility | None | $1,412.54 | $6,309.57 | $7,762.47 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $3,388.44 | Professional | None | $1,819.70 | $2,290.87 | $3,388.44 |
ConnectiCare Setting Facility Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,348.96 | $1,621.81 |
ConnectiCare Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,454.71 | $2,570.40 |
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 $1,230.27 Median $1,905.46 Typical High $3,981.07 | Professional | None | $1,230.27 | $1,905.46 | $3,981.07 |
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 $660.69 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $660.69 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $269.15 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $269.15 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,000.00 Median $1,659.59 Typical High $1,659.59 | Professional | 54 · Surgery only | $1,000.00 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $338.84 Typical High $338.84 | Professional | 55 · Aftercare only | $199.53 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $223.87 Typical High $223.87 | Professional | 56 · Pre-op care only | $131.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $933.25 Median $1,548.82 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $933.25 | $1,548.82 | $1,548.82 |
Where Connecticut sits
The same service costs 3.0 times more in Alaska than in Vermont. 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 $12,999VT $4,294
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.