How much rates vary
Facilitymedian $3,715 · 10th to 90th $933 to $8,913Professionalmedian $331 · 10th to 90th $200 to $479
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 $7,943.28 Typical High $13,489.63 | Facility | None | $4,570.88 | $7,943.28 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $281.84 | Professional | None | $199.53 | $281.84 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $426.58 | Professional | None | $194.98 | $302.00 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,819.70 Typical High $2,691.53 | Facility | None | $851.14 | $1,819.70 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $575.44 | Professional | None | $316.23 | $467.74 | $575.44 |
ConnectiCare Setting Professional Modifier None Typical Low $346.74 Median $549.54 Typical High $549.54 | Professional | None | $346.74 | $549.54 | $549.54 |
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 $190.55 Median $338.84 Typical High $575.44 | Professional | None | $190.55 | $338.84 | $575.44 |
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 $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $100.00 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $39.81 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $208.93 Typical High $208.93 | Professional | 54 · Surgery only | $151.36 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $30.20 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | 56 · Pre-op care only | $19.95 | $28.18 | $28.18 |
Where Connecticut sits
The same service costs 7.6 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 $4,681MT $618
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.