How much rates vary
Facilitymedian $3,548 · 10th to 90th $776 to $6,918Professionalmedian $537 · 10th to 90th $288 to $794
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 $316.23 Median $467.74 Typical High $467.74 | Professional | None | $316.23 | $467.74 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $741.31 | Professional | None | $288.40 | $549.54 | $741.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $426.58 Median $812.83 Typical High $1,122.02 | Professional | 50 · Both sides | $426.58 | $812.83 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,862.09 Typical High $2,398.83 | Facility | None | $741.31 | $1,862.09 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $478.63 Typical High $776.25 | Professional | None | $416.87 | $478.63 | $776.25 |
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 $371.54 Median $436.52 Typical High $524.81 | Professional | None | $371.54 | $436.52 | $524.81 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $239.88 Median $467.74 Typical High $870.96 | Professional | None | $239.88 | $467.74 | $870.96 |
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 $234.42 Typical High $234.42 | Professional | 52 · Reduced service | $158.49 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $63.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $239.88 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $70.79 Typical High $70.79 | Professional | 55 · Aftercare only | $47.86 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $46.77 Typical High $46.77 | Professional | 56 · Pre-op care only | $31.62 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $223.87 | $331.13 | $331.13 |
Where Connecticut sits
The same service costs 4.6 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 $4,822MT $1,050
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.