How much rates vary
Facilitymedian $2,188 · 10th to 90th $891 to $6,918Professionalmedian $170 · 10th to 90th $120 to $380
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 $3,715.35 Median $5,754.40 Typical High $10,471.29 | Facility | None | $3,715.35 | $5,754.40 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | None | $151.36 | $151.36 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $2,238.72 | Facility | None | $707.95 | $1,513.56 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $194.98 Typical High $467.74 | Professional | None | $114.82 | $194.98 | $467.74 |
Emblem Health Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $239.88 | Professional | None | $169.82 | $239.88 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $2,344.23 Typical High $7,244.36 | Facility | None | $1,230.27 | $2,344.23 | $7,244.36 |
Horizon BCBS Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $467.74 | Professional | None | $162.18 | $194.98 | $467.74 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,995.26 Typical High $5,623.41 | Facility | None | $707.95 | $1,995.26 | $5,623.41 |
United Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $380.19 | Professional | None | $112.20 | $154.88 | $380.19 |
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 $74.13 Median $74.13 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 53 · Discontinued | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | 54 · Surgery only | $112.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $22.39 Typical High $27.54 | Professional | 55 · Aftercare only | $22.39 | $22.39 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | 56 · Pre-op care only | $15.14 | $15.14 | $18.20 |
Where New Jersey 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.