How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,175 to $10,233Professionalmedian $1,479 · 10th to 90th $871 to $2,138
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 $776.25 Median $1,380.38 Typical High $2,818.38 | Facility | None | $776.25 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,862.09 Typical High $2,137.96 | Professional | None | $870.96 | $1,862.09 | $2,137.96 |
Ambetter Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $4,466.84 Typical High $9,120.11 | Facility | None | $1,258.93 | $4,466.84 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $1,584.89 Typical High $1,698.24 | Professional | None | $724.44 | $1,584.89 | $1,698.24 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $3,311.31 Typical High $12,589.25 | Facility | None | $1,380.38 | $3,311.31 | $12,589.25 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,344.23 | Professional | None | $912.01 | $1,000.00 | $2,344.23 |
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 $436.52 Median $933.25 Typical High $1,071.52 | Professional | 52 · Reduced service | $436.52 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $371.54 Typical High $426.58 | Professional | 53 · Discontinued | $173.78 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $1,412.54 Typical High $1,584.89 | Professional | 54 · Surgery only | $660.69 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $281.84 Typical High $316.23 | Professional | 55 · Aftercare only | $131.83 | $281.84 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $186.21 Typical High $213.80 | Professional | 56 · Pre-op care only | $87.10 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $1,318.26 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $616.60 | $1,318.26 | $1,479.11 |
Where Mississippi sits
The same service costs 4.7 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 $14,563MT $3,098
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.