How much rates vary
Facilitymedian $4,074 · 10th to 90th $741 to $8,318Professionalmedian $468 · 10th to 90th $339 to $2,951
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 $1,288.25 Median $4,466.84 Typical High $13,182.57 | Facility | None | $1,288.25 | $4,466.84 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $5,128.61 Typical High $8,912.51 | Facility | None | $1,071.52 | $5,128.61 | $8,912.51 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $575.44 | Professional | None | $371.54 | $501.19 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,174.90 | Facility | None | $776.25 | $977.24 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $549.54 | Professional | None | $389.05 | $478.63 | $549.54 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,148.15 Typical High $6,165.95 | Facility | None | $537.03 | $1,148.15 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $2,951.21 | Professional | None | $338.84 | $446.68 | $2,951.21 |
United Setting Facility Modifier None Typical Low $912.01 Median $2,951.21 Typical High $6,025.60 | Facility | None | $912.01 | $2,951.21 | $6,025.60 |
United Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $575.44 | Professional | None | $323.59 | $398.11 | $575.44 |
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 $204.17 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 56 · Pre-op care only | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $288.40 |
Where Oklahoma sits
The same service costs 3.9 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 $5,016MT $1,277
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.