How much rates vary
Facilitymedian $5,495 · 10th to 90th $871 to $11,749Professionalmedian $692 · 10th to 90th $251 to $1,698
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $363.08 Typical High $1,174.90 | Professional | None | $218.78 | $363.08 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,481.54 Typical High $13,489.63 | Facility | None | $2,754.23 | $11,481.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $691.83 Typical High $1,698.24 | Professional | None | $251.19 | $691.83 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $4,168.69 Typical High $5,248.07 | Facility | None | $741.31 | $4,168.69 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $537.03 Typical High $1,698.24 | Professional | None | $295.12 | $537.03 | $1,698.24 |
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 $794.33 Median $1,288.25 Typical High $1,513.56 | Professional | None | $794.33 | $1,288.25 | $1,513.56 |
United Setting Facility Modifier None Typical Low $870.96 Median $5,495.41 Typical High $9,772.37 | Facility | None | $870.96 | $5,495.41 | $9,772.37 |
United Setting Professional Modifier None Typical Low $213.80 Median $758.58 Typical High $2,290.87 | Professional | None | $213.80 | $758.58 | $2,290.87 |
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 $141.25 Median $165.96 Typical High $575.44 | Professional | 52 · Reduced service | $141.25 | $165.96 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $229.09 | Professional | 53 · Discontinued | $56.23 | $66.07 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $870.96 | Professional | 54 · Surgery only | $208.93 | $245.47 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $50.12 Typical High $173.78 | Professional | 55 · Aftercare only | $41.69 | $50.12 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $33.11 Typical High $114.82 | Professional | 56 · Pre-op care only | $28.18 | $33.11 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $229.09 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $194.98 | $229.09 | $812.83 |
Where Connecticut sits
The same service costs 5.1 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 $7,315MT $1,443
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.