How much rates vary
Facilitymedian $3,236 · 10th to 90th $776 to $7,943Professionalmedian $562 · 10th to 90th $380 to $2,884
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 $977.24 Median $5,011.87 Typical High $8,317.64 | Facility | None | $977.24 | $5,011.87 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $562.34 Typical High $588.84 | Professional | None | $436.52 | $562.34 | $588.84 |
BCBS Setting Facility Modifier None Typical Low $776.25 Median $1,862.09 Typical High $4,897.79 | Facility | None | $776.25 | $1,862.09 | $4,897.79 |
BCBS Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $977.24 | Professional | None | $323.59 | $501.19 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $3,311.31 Typical High $6,309.57 | Facility | None | $851.14 | $3,311.31 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $851.14 | Professional | None | $380.19 | $512.86 | $851.14 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $2,884.03 Typical High $16,595.87 | Facility | None | $588.84 | $2,884.03 | $16,595.87 |
Medica Setting Professional Modifier None Typical Low $524.81 Median $2,884.03 Typical High $3,981.07 | Professional | None | $524.81 | $2,884.03 | $3,981.07 |
United Setting Facility Modifier None Typical Low $977.24 Median $4,168.69 Typical High $8,317.64 | Facility | None | $977.24 | $4,168.69 | $8,317.64 |
United Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $870.96 | Professional | None | $398.11 | $549.54 | $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 $218.78 Median $257.04 Typical High $288.40 | Professional | 52 · Reduced service | $218.78 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $114.82 | Professional | 53 · Discontinued | $87.10 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $380.19 Typical High $436.52 | Professional | 54 · Surgery only | $323.59 | $380.19 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $77.62 Typical High $87.10 | Professional | 55 · Aftercare only | $66.07 | $77.62 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $354.81 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $302.00 | $354.81 | $407.38 |
Where Arizona sits
The same service costs 6.1 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 $9,157MT $1,508
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.