How much rates vary
Facilitymedian $3,162 · 10th to 90th $933 to $11,482Professionalmedian $955 · 10th to 90th $603 to $1,622
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 $831.76 Median $4,265.80 Typical High $7,079.46 | Facility | None | $831.76 | $4,265.80 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $645.65 Typical High $954.99 | Professional | None | $407.38 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,288.25 | $5,888.44 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,445.44 | Professional | None | $933.25 | $1,047.13 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $812.83 Typical High $1,174.90 | Professional | None | $380.19 | $812.83 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $1,621.81 Typical High $14,791.08 | Facility | None | $851.14 | $1,621.81 | $14,791.08 |
Medica Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $4,570.88 | Professional | None | $707.95 | $1,148.15 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,148.15 Typical High $1,412.54 | Professional | None | $794.33 | $1,148.15 | $1,412.54 |
Midlands Setting Facility Modifier None Typical Low $1,548.82 Median $5,888.44 Typical High $7,244.36 | Facility | None | $1,548.82 | $5,888.44 | $7,244.36 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $1,230.27 Typical High $1,659.59 | Professional | None | $794.33 | $1,230.27 | $1,659.59 |
Oscar Health Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $1,318.26 | Professional | None | $416.87 | $776.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $3,630.78 Typical High $19,054.61 | Facility | None | $1,258.93 | $3,630.78 | $19,054.61 |
United Setting Professional Modifier None Typical Low $457.09 Median $758.58 Typical High $1,445.44 | Professional | None | $457.09 | $758.58 | $1,445.44 |
Wellmark Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $1,548.82 | Professional | None | $812.83 | $954.99 | $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 $204.17 Median $323.59 Typical High $478.63 | Professional | 52 · Reduced service | $204.17 | $323.59 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $128.82 Typical High $190.55 | Professional | 53 · Discontinued | $83.18 | $128.82 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $489.78 Typical High $707.95 | Professional | 54 · Surgery only | $309.03 | $489.78 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $97.72 Typical High $141.25 | Professional | 55 · Aftercare only | $61.66 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $64.57 Typical High $95.50 | Professional | 56 · Pre-op care only | $40.74 | $64.57 | $95.50 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $457.09 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $288.40 | $457.09 | $660.69 |
Where Iowa sits
The same service costs 6.5 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 $9,949MT $1,532
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.