How much rates vary
Facilitymedian $2,138 · 10th to 90th $933 to $6,918Professionalmedian $182 · 10th to 90th $85 to $427
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 $5,248.07 Typical High $10,964.78 | Facility | None | $2,754.23 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $416.87 | Professional | None | $134.90 | $134.90 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,290.87 | Facility | None | $691.83 | $1,412.54 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $281.84 Typical High $489.78 | Professional | None | $102.33 | $281.84 | $489.78 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $691.83 | Professional | None | $489.78 | $691.83 | $691.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $7,244.36 | Facility | None | $1,318.26 | $2,454.71 | $7,244.36 |
Horizon BCBS Setting Professional Modifier None Typical Low $123.03 Median $389.05 Typical High $575.44 | Professional | None | $123.03 | $389.05 | $575.44 |
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 $75.86 Median $208.93 Typical High $363.08 | Professional | None | $75.86 | $208.93 | $363.08 |
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 $66.07 Median $66.07 Typical High $194.98 | Professional | 52 · Reduced service | $66.07 | $66.07 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $77.62 | Professional | 53 · Discontinued | $26.92 | $26.92 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $100.00 Typical High $295.12 | Professional | 54 · Surgery only | $100.00 | $100.00 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $19.95 Typical High $58.88 | Professional | 55 · Aftercare only | $19.95 | $19.95 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $38.90 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $38.90 |
Where New Jersey sits
The same service costs 5.7 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 $4,090MT $722
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.