How much rates vary
Facilitymedian $4,786 · 10th to 90th $794 to $11,749Professionalmedian $407 · 10th to 90th $245 to $617
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 $288.40 Median $398.11 Typical High $512.86 | Professional | None | $288.40 | $398.11 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $8,128.31 Typical High $13,489.63 | Facility | None | $3,311.31 | $8,128.31 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $524.81 | Professional | None | $245.47 | $380.19 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $3,388.44 | Facility | None | $741.31 | $2,570.40 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $724.44 | Professional | None | $338.84 | $467.74 | $724.44 |
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 $501.19 Median $524.81 Typical High $524.81 | Professional | None | $501.19 | $524.81 | $524.81 |
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 $275.42 Median $457.09 Typical High $812.83 | Professional | None | $275.42 | $457.09 | $812.83 |
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 $162.18 Median $186.21 Typical High $257.04 | Professional | 52 · Reduced service | $162.18 | $186.21 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $102.33 | Professional | 53 · Discontinued | $64.57 | $74.13 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $281.84 Typical High $389.05 | Professional | 54 · Surgery only | $245.47 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $56.23 Typical High $77.62 | Professional | 55 · Aftercare only | $48.98 | $56.23 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $37.15 Typical High $51.29 | Professional | 56 · Pre-op care only | $32.36 | $37.15 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $263.03 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $229.09 | $263.03 | $363.08 |
Where Connecticut sits
The same service costs 6.1 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 $6,346MT $1,043
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.