How much rates vary
Facilitymedian $3,548 · 10th to 90th $631 to $6,918Professionalmedian $245 · 10th to 90th $79 to $759
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 $2,570.40 Median $4,365.16 Typical High $7,585.78 | Facility | None | $2,570.40 | $4,365.16 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $194.98 Typical High $338.84 | Professional | None | $79.43 | $194.98 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,715.35 Typical High $6,456.54 | Facility | None | $2,754.23 | $3,715.35 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $758.58 | Professional | None | $141.25 | $257.04 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $602.56 Typical High $1,380.38 | Facility | None | $512.86 | $602.56 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $275.42 Typical High $436.52 | Professional | None | $74.13 | $275.42 | $436.52 |
ConnectiCare Setting Professional Modifier None Typical Low $288.40 Median $363.08 Typical High $524.81 | Professional | None | $288.40 | $363.08 | $524.81 |
Health New England Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $8,128.31 | Facility | None | $1,949.84 | $1,949.84 | $8,128.31 |
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 $72.44 Median $234.42 Typical High $602.56 | Professional | None | $72.44 | $234.42 | $602.56 |
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 $43.65 Median $91.20 Typical High $169.82 | Professional | 52 · Reduced service | $43.65 | $91.20 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $36.31 Typical High $67.61 | Professional | 53 · Discontinued | $17.38 | $36.31 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $138.04 Typical High $251.19 | Professional | 54 · Surgery only | $66.07 | $138.04 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $27.54 Typical High $51.29 | Professional | 55 · Aftercare only | $13.18 | $27.54 | $51.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $18.20 Typical High $33.88 | Professional | 56 · Pre-op care only | $8.71 | $18.20 | $33.88 |
Where Connecticut sits
The same service costs 9.0 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 $4,579MT $507
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.