How much rates vary
Facilitymedian $3,467 · 10th to 90th $1,288 to $8,318Professionalmedian $794 · 10th to 90th $661 to $1,072
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 $794.33 Median $1,513.56 Typical High $2,454.71 | Facility | None | $794.33 | $1,513.56 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | None | $676.08 | $794.33 | $794.33 |
BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $6,760.83 Typical High $9,120.11 | Facility | None | $3,388.44 | $6,760.83 | $9,120.11 |
BCBS Setting Professional Modifier None Typical Low $707.95 Median $776.25 Typical High $933.25 | Professional | None | $707.95 | $776.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $3,981.07 | Facility | None | $691.83 | $3,162.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,122.02 | Professional | None | $616.60 | $1,071.52 | $1,122.02 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $6,918.31 | Facility | None | $1,412.54 | $1,995.26 | $6,918.31 |
United Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,230.27 | Professional | None | $549.54 | $724.44 | $1,230.27 |
6 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 52 · Reduced service Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $302.00 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $123.03 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $457.09 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $457.09 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $60.26 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $426.58 | $549.54 | $549.54 |
Where Arkansas sits
The same service costs 6.9 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 $14,737MT $2,143
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.