How much rates vary
Facilitymedian $2,344 · 10th to 90th $646 to $11,220Professionalmedian $525 · 10th to 90th $316 to $871
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 $316.23 Median $1,380.38 Typical High $7,762.47 | Facility | None | $316.23 | $1,380.38 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $616.60 | Professional | None | $323.59 | $512.86 | $616.60 |
BCBS Setting Facility Modifier None Typical Low $2,344.23 Median $8,511.38 Typical High $13,182.57 | Facility | None | $2,344.23 | $8,511.38 | $13,182.57 |
BCBS Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $616.60 | Professional | None | $239.88 | $398.11 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $1,995.26 | Facility | None | $776.25 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $870.96 | Professional | None | $354.81 | $562.34 | $870.96 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $446.68 Typical High $741.31 | Professional | None | $33.11 | $446.68 | $741.31 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $1,445.44 Typical High $2,089.30 | Facility | None | $269.15 | $1,445.44 | $2,089.30 |
Providence Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $870.96 | Professional | None | $354.81 | $562.34 | $870.96 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $2,344.23 Typical High $7,585.78 | Facility | None | $1,047.13 | $2,344.23 | $7,585.78 |
United Setting Professional Modifier None Typical Low $323.59 Median $549.54 Typical High $851.14 | Professional | None | $323.59 | $549.54 | $851.14 |
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 $158.49 Median $194.98 Typical High $309.03 | Professional | 52 · Reduced service | $158.49 | $194.98 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $123.03 | Professional | 53 · Discontinued | $63.10 | $79.43 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $295.12 Typical High $467.74 | Professional | 54 · Surgery only | $239.88 | $295.12 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $58.88 Typical High $93.33 | Professional | 55 · Aftercare only | $47.86 | $58.88 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $39.81 Typical High $61.66 | Professional | 56 · Pre-op care only | $31.62 | $39.81 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $275.42 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $223.87 | $275.42 | $436.52 |
Where New Mexico sits
The same service costs 5.3 times more in Colorado 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
CO $6,438MT $1,226
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.