How much rates vary
Facilitymedian $3,090 · 10th to 90th $955 to $6,310Professionalmedian $417 · 10th to 90th $234 to $1,349
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 $3,090.30 Median $4,677.35 Typical High $7,079.46 | Facility | None | $3,090.30 | $4,677.35 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $354.81 Typical High $676.08 | Professional | None | $223.87 | $354.81 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,548.13 Typical High $6,025.60 | Facility | None | $2,398.83 | $3,548.13 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $1,348.96 | Professional | None | $316.23 | $478.63 | $1,348.96 |
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 $346.74 Typical High $870.96 | Professional | None | $281.84 | $346.74 | $870.96 |
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 $102.33 Median $288.40 Typical High $891.25 | Professional | None | $102.33 | $288.40 | $891.25 |
Health New England Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,677.35 | Facility | None | $4,365.16 | $4,365.16 | $4,677.35 |
Health New England Setting Professional Modifier None Typical Low $208.93 Median $371.54 Typical High $371.54 | Professional | None | $208.93 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $660.69 Median $2,691.53 Typical High $6,918.31 | Facility | None | $660.69 | $2,691.53 | $6,918.31 |
United Setting Professional Modifier None Typical Low $194.98 Median $489.78 Typical High $1,148.15 | Professional | None | $194.98 | $489.78 | $1,148.15 |
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 $323.59 | Professional | 52 · Reduced service | $112.20 | $147.91 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $58.88 Typical High $131.83 | Professional | 53 · Discontinued | $44.67 | $58.88 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $165.96 Median $218.78 Typical High $489.78 | Professional | 54 · Surgery only | $165.96 | $218.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $44.67 Typical High $97.72 | Professional | 55 · Aftercare only | $33.11 | $44.67 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.39 Median $29.51 Typical High $64.57 | Professional | 56 · Pre-op care only | $22.39 | $29.51 | $64.57 |
Where Connecticut sits
The same service costs 4.1 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 $4,142MT $1,002
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.