How much rates vary
Facilitymedian $2,630 · 10th to 90th $646 to $4,898Professionalmedian $631 · 10th to 90th $490 to $1,047
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 $602.56 Median $645.65 Typical High $4,897.79 | Facility | None | $602.56 | $645.65 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $660.69 | Professional | None | $478.63 | $630.96 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $478.63 Typical High $478.63 | Professional | 54 · Surgery only | $457.09 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $426.58 | $446.68 | $446.68 |
BCBS Michigan Setting Facility Modifier None Typical Low $2,630.27 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,630.27 | $2,691.53 | $4,677.35 |
BCBS Michigan Setting Professional Modifier None Typical Low $141.25 Median $1,000.00 Typical High $1,047.13 | Professional | None | $141.25 | $1,000.00 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $1,122.02 | Professional | None | $363.08 | $549.54 | $1,122.02 |
Health Alliance Plan Setting Facility Modifier None Typical Low $630.96 Median $1,318.26 Typical High $4,897.79 | Facility | None | $630.96 | $1,318.26 | $4,897.79 |
Health Alliance Plan Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $691.83 | Professional | None | $489.78 | $630.96 | $691.83 |
Health Alliance Plan Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $457.09 | $467.74 | $467.74 |
Health Alliance Plan Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $426.58 | $436.52 | $436.52 |
Priority Health Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $891.25 | Professional | None | $363.08 | $537.03 | $891.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,230.27 Typical High $5,011.87 | Facility | None | $602.56 | $1,230.27 | $5,011.87 |
United Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $645.65 | Professional | None | $489.78 | $588.84 | $645.65 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Michigan Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 50 · Both sides | $1,122.02 | $1,122.02 | $1,122.02 |
Where Michigan 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.