How much rates vary
Facilitymedian $3,020 · 10th to 90th $933 to $6,457Professionalmedian $513 · 10th to 90th $275 to $1,698
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 $239.88 Median $363.08 Typical High $1,023.29 | Professional | None | $239.88 | $363.08 | $1,023.29 |
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 $363.08 Median $537.03 Typical High $1,698.24 | Professional | None | $363.08 | $537.03 | $1,698.24 |
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 $295.12 Median $416.87 Typical High $1,096.48 | Professional | None | $295.12 | $416.87 | $1,096.48 |
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 $371.54 Typical High $1,148.15 | Professional | None | $102.33 | $371.54 | $1,148.15 |
Health New England Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $912.01 | Professional | None | $407.38 | $407.38 | $912.01 |
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 $199.53 Median $588.84 Typical High $1,737.80 | Professional | None | $199.53 | $588.84 | $1,737.80 |
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 $120.23 Median $181.97 Typical High $489.78 | Professional | 52 · Reduced service | $120.23 | $181.97 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $72.44 Typical High $199.53 | Professional | 53 · Discontinued | $47.86 | $72.44 | $199.53 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $275.42 Typical High $741.31 | Professional | 54 · Surgery only | $181.97 | $275.42 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $54.95 Typical High $147.91 | Professional | 55 · Aftercare only | $36.31 | $54.95 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $36.31 Typical High $100.00 | Professional | 56 · Pre-op care only | $23.99 | $36.31 | $100.00 |
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 $4,259MT $1,038
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.