How much rates vary
Facilitymedian $295 · 10th to 90th $102 to $2,042Professionalmedian $275 · 10th to 90th $224 to $2,042
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 $851.14 Median $3,715.35 Typical High $6,606.93 | Facility | None | $851.14 | $3,715.35 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $275.42 Typical High $316.23 | Professional | None | $251.19 | $275.42 | $316.23 |
BCBS Setting Facility Modifier None Typical Low $85.11 Median $199.53 Typical High $524.81 | Facility | None | $85.11 | $199.53 | $524.81 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $660.69 | Professional | None | $371.54 | $436.52 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $151.36 Typical High $281.84 | Facility | None | $66.07 | $151.36 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $407.38 | Professional | None | $218.78 | $275.42 | $407.38 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $1,584.89 | Facility | None | $199.53 | $346.74 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $2,041.74 Typical High $2,238.72 | Professional | None | $234.42 | $2,041.74 | $2,238.72 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $380.19 | Professional | None | $208.93 | $245.47 | $380.19 |
7 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 $125.89 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $125.89 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $50.12 | $51.29 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $190.55 Typical High $208.93 | Professional | 54 · Surgery only | $186.21 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.90 Typical High $41.69 | Professional | 55 · Aftercare only | $37.15 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.70 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.12 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $173.78 Median $177.83 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $173.78 | $177.83 | $194.98 |
Ambetter Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $302.00 | $380.19 | $380.19 |
Where Arizona sits
The same service costs 6.4 times more in Colorado than in Florida. 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 $2,602FL $408
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.