How much rates vary
Facilitymedian $3,090 · 10th to 90th $724 to $9,333Professionalmedian $537 · 10th to 90th $174 to $1,148
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 $7,079.46 Typical High $11,748.98 | Facility | None | $2,754.23 | $7,079.46 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $616.60 Typical High $758.58 | Professional | None | $199.53 | $616.60 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $912.01 Typical High $1,659.59 | Facility | None | $478.63 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $436.52 Typical High $1,047.13 | Professional | None | $138.04 | $436.52 | $1,047.13 |
Emblem Health Setting Professional Modifier None Typical Low $616.60 Median $954.99 Typical High $954.99 | Professional | None | $616.60 | $954.99 | $954.99 |
Horizon BCBS Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $11,748.98 | Facility | None | $851.14 | $1,513.56 | $11,748.98 |
Horizon BCBS Setting Professional Modifier None Typical Low $173.78 Median $741.31 Typical High $1,698.24 | Professional | None | $173.78 | $741.31 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $7,762.47 | Facility | None | $1,288.25 | $3,388.44 | $7,762.47 |
United Setting Professional Modifier None Typical Low $165.96 Median $549.54 Typical High $1,122.02 | Professional | None | $165.96 | $549.54 | $1,122.02 |
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 $100.00 Median $245.47 Typical High $331.13 | Professional | 52 · Reduced service | $100.00 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $100.00 Typical High $134.90 | Professional | 53 · Discontinued | $39.81 | $100.00 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $371.54 Typical High $501.19 | Professional | 54 · Surgery only | $147.91 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $74.13 Typical High $100.00 | Professional | 55 · Aftercare only | $29.51 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $50.12 Typical High $67.61 | Professional | 56 · Pre-op care only | $19.95 | $50.12 | $67.61 |
Where New Jersey 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.