How much rates vary
Facilitymedian $1,585 · 10th to 90th $661 to $7,943Professionalmedian $457 · 10th to 90th $72 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 $851.14 Median $4,168.69 Typical High $11,220.18 | Facility | None | $851.14 | $4,168.69 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $2,089.30 | Professional | None | $457.09 | $457.09 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $1,548.82 Typical High $7,585.78 | Facility | None | $616.60 | $1,548.82 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $724.44 | Professional | None | $363.08 | $457.09 | $724.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $549.54 Median $691.83 Typical High $1,096.48 | Professional | 50 · Both sides | $549.54 | $691.83 | $1,096.48 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $1,513.56 | Facility | None | $588.84 | $1,174.90 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $6,025.60 | Facility | None | $602.56 | $1,412.54 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $870.96 | Professional | None | $478.63 | $602.56 | $870.96 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $6,025.60 | Facility | None | $602.56 | $1,412.54 | $6,025.60 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $478.63 Median $602.56 Typical High $870.96 | Professional | None | $478.63 | $602.56 | $870.96 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $354.81 Typical High $588.84 | Professional | None | $63.10 | $354.81 | $588.84 |
SummaCare Setting Facility Modifier None Typical Low $645.65 Median $676.08 Typical High $758.58 | Facility | None | $645.65 | $676.08 | $758.58 |
SummaCare Setting Professional Modifier None Typical Low $416.87 Median $457.09 Typical High $602.56 | Professional | None | $416.87 | $457.09 | $602.56 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,445.44 Typical High $6,165.95 | Facility | None | $691.83 | $1,445.44 | $6,165.95 |
United Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $870.96 | Professional | None | $295.12 | $501.19 | $870.96 |
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 $346.74 Median $346.74 Typical High $1,071.52 | Professional | 54 · Surgery only | $346.74 | $346.74 | $1,071.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $323.59 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $323.59 | $323.59 | $1,000.00 |
Where Ohio 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.