How much rates vary
Facilitymedian $3,548 · 10th to 90th $851 to $6,607Professionalmedian $372 · 10th to 90th $219 to $617
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 $4,897.79 Typical High $7,585.78 | Facility | None | $2,754.23 | $4,897.79 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $295.12 Typical High $588.84 | Professional | None | $223.87 | $295.12 | $588.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,801.89 Typical High $6,456.54 | Facility | None | $2,754.23 | $3,801.89 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $501.19 | Professional | None | $309.03 | $398.11 | $501.19 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $194.98 Median $251.19 Typical High $309.03 | Professional | 62 · Two surgeons | $194.98 | $251.19 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,905.46 Typical High $2,454.71 | Facility | None | $741.31 | $1,905.46 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $691.83 | Professional | None | $281.84 | $371.54 | $691.83 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $229.09 Median $346.74 Typical High $436.52 | Professional | None | $229.09 | $346.74 | $436.52 |
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 $177.83 Median $371.54 Typical High $1,000.00 | Professional | None | $177.83 | $371.54 | $1,000.00 |
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 $112.20 Median $147.91 Typical High $295.12 | Professional | 52 · Reduced service | $112.20 | $147.91 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $58.88 Typical High $120.23 | Professional | 53 · Discontinued | $44.67 | $58.88 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $223.87 Typical High $446.68 | Professional | 54 · Surgery only | $165.96 | $223.87 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $44.67 Typical High $89.13 | Professional | 55 · Aftercare only | $33.88 | $44.67 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $29.51 Typical High $58.88 | Professional | 56 · Pre-op care only | $22.39 | $29.51 | $58.88 |
Where Connecticut sits
The same service costs 6.8 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 $4,179MT $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.