How much rates vary
Facilitymedian $2,138 · 10th to 90th $891 to $4,898Professionalmedian $562 · 10th to 90th $316 to $3,388
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 $1,023.29 Median $2,818.38 Typical High $7,585.78 | Facility | None | $1,023.29 | $2,818.38 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $436.52 Typical High $616.60 | Professional | None | $288.40 | $436.52 | $616.60 |
BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $2,089.30 Typical High $5,128.61 | Facility | None | $1,023.29 | $2,089.30 | $5,128.61 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $630.96 Typical High $1,148.15 | Professional | None | $371.54 | $630.96 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,949.84 Typical High $3,548.13 | Facility | None | $602.56 | $1,949.84 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $758.58 | Professional | None | $302.00 | $446.68 | $758.58 |
Lucent Health Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,388.44 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,570.40 Typical High $5,128.61 | Facility | None | $1,000.00 | $2,570.40 | $5,128.61 |
United Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $870.96 | Professional | None | $302.00 | $467.74 | $870.96 |
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 $144.54 Median $218.78 Typical High $309.03 | Professional | 52 · Reduced service | $144.54 | $218.78 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $87.10 Typical High $123.03 | Professional | 53 · Discontinued | $57.54 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $323.59 Typical High $467.74 | Professional | 54 · Surgery only | $218.78 | $323.59 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $64.57 Typical High $93.33 | Professional | 55 · Aftercare only | $43.65 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $43.65 Typical High $61.66 | Professional | 56 · Pre-op care only | $28.84 | $43.65 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $302.00 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $204.17 | $302.00 | $436.52 |
Where Tennessee sits
The same service costs 5.2 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 $6,390MT $1,233
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.