How much rates vary
Facilitymedian $9,120 · 10th to 90th $2,239 to $31,623Professionalmedian $1,778 · 10th to 90th $1,047 to $2,754
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 $7,943.28 Typical High $11,481.54 | Facility | None | $4,570.88 | $7,943.28 | $11,481.54 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,698.24 | $1,698.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $7,762.47 Typical High $36,307.81 | Facility | None | $3,019.95 | $7,762.47 | $36,307.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,778.28 Typical High $2,630.27 | Professional | None | $954.99 | $1,778.28 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $13,803.84 Median $31,622.78 Typical High $38,018.94 | Facility | None | $13,803.84 | $31,622.78 | $38,018.94 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,412.54 | $1,778.28 | $2,884.03 |
ConnectiCare Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,698.24 | $1,698.24 | $1,778.28 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $12,589.25 Typical High $17,782.79 | Facility | None | $1,737.80 | $12,589.25 | $17,782.79 |
United Setting Professional Modifier None Typical Low $1,174.90 Median $1,819.70 Typical High $3,981.07 | Professional | None | $1,174.90 | $1,819.70 | $3,981.07 |
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 $549.54 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $549.54 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $223.87 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,288.25 Typical High $1,288.25 | Professional | 54 · Surgery only | $831.76 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $165.96 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $112.20 | $169.82 | $169.82 |
Where Connecticut sits
The same service costs 8.1 times more in Indiana than in Kentucky. 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
IN $23,026KY $2,834
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.