How much rates vary
Facilitymedian $5,754 · 10th to 90th $871 to $11,749Professionalmedian $525 · 10th to 90th $240 to $1,288
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 $4,570.88 Median $7,413.10 Typical High $10,471.29 | Facility | None | $4,570.88 | $7,413.10 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $331.13 Typical High $954.99 | Professional | None | $251.19 | $331.13 | $954.99 |
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 $239.88 Median $524.81 Typical High $1,288.25 | Professional | None | $239.88 | $524.81 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $977.24 Typical High $1,548.82 | Facility | None | $501.19 | $977.24 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $457.09 Typical High $1,288.25 | Professional | None | $288.40 | $457.09 | $1,288.25 |
ConnectiCare Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,174.90 | Professional | None | $977.24 | $977.24 | $1,174.90 |
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 $208.93 Median $645.65 Typical High $1,778.28 | Professional | None | $208.93 | $645.65 | $1,778.28 |
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 $162.18 Typical High $478.63 | Professional | 52 · Reduced service | $138.04 | $162.18 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $190.55 | Professional | 53 · Discontinued | $56.23 | $66.07 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $245.47 Typical High $724.44 | Professional | 54 · Surgery only | $208.93 | $245.47 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $48.98 Typical High $144.54 | Professional | 55 · Aftercare only | $41.69 | $48.98 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $33.11 Typical High $95.50 | Professional | 56 · Pre-op care only | $27.54 | $33.11 | $95.50 |
Where Connecticut sits
The same service costs 6.9 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 $7,377MT $1,063
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.