How much rates vary
Facilitymedian $4,786 · 10th to 90th $813 to $12,023Professionalmedian $741 · 10th to 90th $447 to $1,148
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $870.96 | Professional | None | $512.86 | $602.56 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $10,000.00 Typical High $13,803.84 | Facility | None | $4,786.30 | $10,000.00 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,000.00 | Professional | None | $478.63 | $741.31 | $1,000.00 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $1,096.48 Typical High $1,513.56 | Professional | 50 · Both sides | $707.95 | $1,096.48 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,570.40 Typical High $3,388.44 | Facility | None | $741.31 | $2,570.40 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,258.93 | Professional | None | $602.56 | $758.58 | $1,258.93 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,000.00 | Professional | None | $724.44 | $812.83 | $1,000.00 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $363.08 Median $707.95 Typical High $1,548.82 | Professional | None | $363.08 | $707.95 | $1,548.82 |
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 $269.15 Median $302.00 Typical High $436.52 | Professional | 52 · Reduced service | $269.15 | $302.00 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $120.23 Typical High $173.78 | Professional | 53 · Discontinued | $107.15 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $457.09 Typical High $660.69 | Professional | 54 · Surgery only | $407.38 | $457.09 | $660.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $91.20 Typical High $131.83 | Professional | 55 · Aftercare only | $81.28 | $91.20 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $60.26 Typical High $87.10 | Professional | 56 · Pre-op care only | $53.70 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $426.58 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $380.19 | $426.58 | $616.60 |
Where Connecticut 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 $6,491MT $1,489
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.