How much rates vary
Facilitymedian $3,981 · 10th to 90th $933 to $14,125Professionalmedian $550 · 10th to 90th $417 to $776
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 $467.74 Median $1,122.02 Typical High $11,220.18 | Facility | None | $467.74 | $1,122.02 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $645.65 | Professional | None | $407.38 | $436.52 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $7,413.10 Typical High $17,378.01 | Facility | None | $1,096.48 | $7,413.10 | $17,378.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $724.44 | Professional | None | $416.87 | $549.54 | $724.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $831.76 Typical High $1,096.48 | Professional | 50 · Both sides | $616.60 | $831.76 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $2,511.89 | Facility | None | $478.63 | $478.63 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,995.26 Typical High $3,715.35 | Facility | None | $933.25 | $1,995.26 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $549.54 Typical High $2,290.87 | Professional | None | $446.68 | $549.54 | $2,290.87 |
Physicians Health Plan of Northern Indiana Setting Facility Modifier None Typical Low $1,258.93 Median $2,570.40 Typical High $4,168.69 | Facility | None | $1,258.93 | $2,570.40 | $4,168.69 |
Physicians Health Plan of Northern Indiana Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $912.01 | Professional | None | $501.19 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $3,311.31 Typical High $7,943.28 | Facility | None | $1,000.00 | $3,311.31 | $7,943.28 |
United Setting Professional Modifier None Typical Low $371.54 Median $512.86 Typical High $831.76 | Professional | None | $371.54 | $512.86 | $831.76 |
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 $302.00 Median $323.59 Typical High $363.08 | Professional | 54 · Surgery only | $302.00 | $323.59 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $302.00 Typical High $338.84 | Professional | 78 · Unplanned return to OR | $281.84 | $302.00 | $338.84 |
Where Indiana 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.