How much rates vary
Facilitymedian $3,802 · 10th to 90th $891 to $11,749Professionalmedian $646 · 10th to 90th $363 to $1,023
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 $3,162.28 Median $6,165.95 Typical High $8,511.38 | Facility | None | $3,162.28 | $6,165.95 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $562.34 | Professional | None | $371.54 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $11,481.54 Typical High $13,489.63 | Facility | None | $2,754.23 | $11,481.54 | $13,489.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $794.33 Typical High $1,071.52 | Professional | None | $363.08 | $794.33 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $3,388.44 | Facility | None | $851.14 | $1,995.26 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $912.01 | Professional | None | $489.78 | $630.96 | $912.01 |
ConnectiCare Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $630.96 | Professional | None | $416.87 | $588.84 | $630.96 |
Health New England Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $891.25 | Professional | None | $676.08 | $891.25 | $891.25 |
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 $331.13 Median $588.84 Typical High $1,288.25 | Professional | None | $331.13 | $588.84 | $1,288.25 |
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 $186.21 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $426.58 Typical High $426.58 | Professional | 54 · Surgery only | $281.84 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $56.23 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $38.02 | $56.23 | $56.23 |
Where Connecticut sits
The same service costs 5.0 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 $5,749MT $1,151
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.