How much rates vary
Facilitymedian $4,786 · 10th to 90th $871 to $11,482Professionalmedian $389 · 10th to 90th $240 to $562
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 $2,754.23 Median $4,897.79 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $467.74 | Professional | None | $269.15 | $446.68 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $7,585.78 Typical High $12,882.50 | Facility | None | $2,754.23 | $7,585.78 | $12,882.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $524.81 | Professional | None | $223.87 | $363.08 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,548.13 Typical High $4,365.16 | Facility | None | $741.31 | $3,548.13 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $588.84 | Professional | None | $338.84 | $426.58 | $588.84 |
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 $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Health New England Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $229.09 Median $371.54 Typical High $676.08 | Professional | None | $229.09 | $371.54 | $676.08 |
5 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 $138.04 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $54.95 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $204.17 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $27.54 | $44.67 | $44.67 |
Where Connecticut sits
The same service costs 8.5 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 $6,252MT $735
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.