How much rates vary
Facilitymedian $1,514 · 10th to 90th $501 to $4,266Professionalmedian $490 · 10th to 90th $389 to $708
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 $398.11 Median $501.19 Typical High $851.14 | Facility | None | $398.11 | $501.19 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $707.95 | Professional | None | $398.11 | $457.09 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $954.99 | Professional | None | $645.65 | $645.65 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $562.34 | Professional | None | $389.05 | $478.63 | $562.34 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $575.44 Median $707.95 Typical High $851.14 | Professional | 50 · Both sides | $575.44 | $707.95 | $851.14 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $691.83 Typical High $2,041.74 | Facility | None | $371.54 | $691.83 | $2,041.74 |
CareSource Setting Professional Modifier None Typical Low $398.11 Median $588.84 Typical High $724.44 | Professional | None | $398.11 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $1,318.26 Typical High $1,584.89 | Facility | None | $34.67 | $1,318.26 | $1,584.89 |
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 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $263.03 | Professional | None | $33.11 | $33.11 | $263.03 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $831.76 | Professional | None | $467.74 | $549.54 | $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 $371.54 | Professional | 54 · Surgery only | $302.00 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $302.00 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $281.84 | $302.00 | $346.74 |
Where Kentucky 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.