How much rates vary
Facilitymedian $10,233 · 10th to 90th $1,660 to $45,709Professionalmedian $1,175 · 10th to 90th $676 to $1,660
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 $8,128.31 Typical High $31,622.78 | Facility | None | $4,570.88 | $8,128.31 | $31,622.78 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,148.15 | Professional | None | $676.08 | $954.99 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $26,915.35 Typical High $47,863.01 | Facility | None | $1,905.46 | $26,915.35 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,584.89 | Professional | None | $676.08 | $1,258.93 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $13,803.84 Median $18,197.01 Typical High $31,622.78 | Facility | None | $13,803.84 | $18,197.01 | $31,622.78 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,737.80 | Professional | None | $870.96 | $1,047.13 | $1,737.80 |
ConnectiCare Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,258.93 | Professional | None | $977.24 | $977.24 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $7,943.28 Typical High $18,197.01 | Facility | None | $1,122.02 | $7,943.28 | $18,197.01 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $2,454.71 | Professional | None | $724.44 | $1,071.52 | $2,454.71 |
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 $316.23 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $316.23 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $125.89 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $478.63 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $478.63 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $95.50 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $63.10 | $95.50 | $95.50 |
Where Connecticut sits
The same service costs 9.6 times more in Oklahoma 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
OK $19,472MT $2,030
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.