How much rates vary
Facilitymedian $4,898 · 10th to 90th $891 to $11,749Professionalmedian $794 · 10th to 90th $457 to $1,148
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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $724.44 | Professional | None | $489.78 | $707.95 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $11,748.98 Typical High $13,803.84 | Facility | None | $933.25 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $831.76 Typical High $1,148.15 | Professional | None | $467.74 | $831.76 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $1,230.27 Typical High $1,698.24 | Professional | 50 · Both sides | $691.83 | $1,230.27 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $2,691.53 Typical High $4,786.30 | Facility | None | $851.14 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $1,096.48 | Professional | None | $660.69 | $776.25 | $1,096.48 |
ConnectiCare Setting Professional Modifier None Typical Low $524.81 Median $691.83 Typical High $831.76 | Professional | None | $524.81 | $691.83 | $831.76 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $1,258.93 | Professional | None | $371.54 | $691.83 | $1,258.93 |
2 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 54 · Surgery only Typical Low $371.54 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $371.54 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $346.74 | $501.19 | $501.19 |
Where Connecticut sits
The same service costs 4.4 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 $6,812MT $1,536
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.