How much rates vary
Facilitymedian $3,631 · 10th to 90th $851 to $7,586Professionalmedian $275 · 10th to 90th $166 to $407
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 $186.21 Median $316.23 Typical High $380.19 | Professional | None | $186.21 | $316.23 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $8,317.64 | Facility | None | $2,754.23 | $4,168.69 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $263.03 Typical High $380.19 | Professional | None | $158.49 | $263.03 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,778.28 Typical High $2,290.87 | Facility | None | $741.31 | $1,778.28 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $295.12 Typical High $398.11 | Professional | None | $234.42 | $295.12 | $398.11 |
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 $275.42 Median $275.42 Typical High $302.00 | Professional | None | $275.42 | $275.42 | $302.00 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $7,413.10 | Facility | None | $660.69 | $2,691.53 | $7,413.10 |
United Setting Professional Modifier None Typical Low $162.18 Median $257.04 Typical High $478.63 | Professional | None | $162.18 | $257.04 | $478.63 |
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 $91.20 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $91.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $37.15 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $27.54 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $18.62 | $31.62 | $31.62 |
Where Connecticut sits
The same service costs 9.2 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 $4,822MT $526
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.