How much rates vary
Facilitymedian $4,898 · 10th to 90th $813 to $12,303Professionalmedian $676 · 10th to 90th $398 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 $4,365.16 Median $6,606.93 Typical High $8,709.64 | Facility | None | $4,365.16 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $851.14 | Professional | None | $398.11 | $562.34 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,748.98 Typical High $13,803.84 | Facility | None | $2,754.23 | $11,748.98 | $13,803.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $891.25 | Professional | None | $467.74 | $660.69 | $891.25 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $954.99 Typical High $1,348.96 | Professional | 50 · Both sides | $707.95 | $954.99 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,388.44 Typical High $4,265.80 | Facility | None | $851.14 | $3,388.44 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,148.15 | Professional | None | $549.54 | $741.31 | $1,148.15 |
ConnectiCare Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $831.76 | Facility | None | $512.86 | $676.08 | $831.76 |
ConnectiCare Setting Professional Modifier None Typical Low $676.08 Median $776.25 Typical High $954.99 | Professional | None | $676.08 | $776.25 | $954.99 |
Health New England Setting Professional Modifier None Typical Low $275.42 Median $562.34 Typical High $741.31 | Professional | None | $275.42 | $562.34 | $741.31 |
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 $323.59 Median $645.65 Typical High $1,445.44 | Professional | None | $323.59 | $645.65 | $1,445.44 |
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 $251.19 Median $275.42 Typical High $416.87 | Professional | 52 · Reduced service | $251.19 | $275.42 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $109.65 Typical High $169.82 | Professional | 53 · Discontinued | $100.00 | $109.65 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $407.38 Typical High $630.96 | Professional | 54 · Surgery only | $380.19 | $407.38 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $81.28 Typical High $125.89 | Professional | 55 · Aftercare only | $75.86 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $54.95 Typical High $85.11 | Professional | 56 · Pre-op care only | $50.12 | $54.95 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $354.81 Median $380.19 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $354.81 | $380.19 | $588.84 |
Where Connecticut sits
The same service costs 4.7 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 $6,438MT $1,383
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.