How much rates vary
Facilitymedian $7,762 · 10th to 90th $1,023 to $15,488Professionalmedian $813 · 10th to 90th $617 to $5,754
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 $1,047.13 Median $4,466.84 Typical High $12,589.25 | Facility | None | $1,047.13 | $4,466.84 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
BCBS Setting Facility Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $16,982.44 | Facility | None | $6,456.54 | $10,715.19 | $16,982.44 |
BCBS Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $954.99 | Professional | None | $645.65 | $870.96 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $5,128.61 Typical High $6,025.60 | Facility | None | $630.96 | $5,128.61 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,047.13 | Professional | None | $741.31 | $812.83 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $2,238.72 Typical High $10,715.19 | Facility | None | $933.25 | $2,238.72 | $10,715.19 |
Medica Setting Professional Modifier None Typical Low $602.56 Median $831.76 Typical High $5,754.40 | Professional | None | $602.56 | $831.76 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $5,754.40 Typical High $11,220.18 | Facility | None | $1,621.81 | $5,754.40 | $11,220.18 |
United Setting Professional Modifier None Typical Low $562.34 Median $741.31 Typical High $1,023.29 | Professional | None | $562.34 | $741.31 | $1,023.29 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $501.19 |
Where Oklahoma sits
The same service costs 6.4 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 $13,837MT $2,168
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.