How much rates vary
Facilitymedian $2,239 · 10th to 90th $977 to $8,318Professionalmedian $229 · 10th to 90th $162 to $501
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 $4,466.84 Median $8,317.64 Typical High $12,882.50 | Facility | None | $4,466.84 | $8,317.64 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $316.23 | Professional | None | $199.53 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,659.59 Typical High $2,691.53 | Facility | None | $912.01 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $257.04 Typical High $549.54 | Professional | None | $134.90 | $257.04 | $549.54 |
Emblem Health Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $275.42 | Professional | None | $190.55 | $275.42 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,344.23 Typical High $5,888.44 | Facility | None | $1,318.26 | $2,344.23 | $5,888.44 |
Horizon BCBS Setting Professional Modifier None Typical Low $223.87 Median $229.09 Typical High $588.84 | Professional | None | $223.87 | $229.09 | $588.84 |
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 $138.04 Median $208.93 Typical High $436.52 | Professional | None | $138.04 | $208.93 | $436.52 |
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 $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $100.00 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $39.81 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $151.36 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $30.20 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $19.95 | $31.62 | $31.62 |
Where New Jersey 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.