How much rates vary
Facilitymedian $3,715 · 10th to 90th $1,148 to $9,333Professionalmedian $407 · 10th to 90th $302 to $933
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 $4,897.79 Typical High $10,964.78 | Facility | None | $2,570.40 | $4,897.79 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $457.09 | Professional | None | $302.00 | $371.54 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,162.28 Typical High $6,025.60 | Facility | None | $691.83 | $3,162.28 | $6,025.60 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $954.99 | Professional | None | $316.23 | $426.58 | $954.99 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $707.95 | Professional | None | $478.63 | $707.95 | $707.95 |
Horizon BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $7,585.78 Typical High $19,952.62 | Facility | None | $4,265.80 | $7,585.78 | $19,952.62 |
Horizon BCBS Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $1,202.26 | Professional | None | $338.84 | $489.78 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,918.31 | Facility | None | $1,122.02 | $2,884.03 | $6,918.31 |
United Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $933.25 | Professional | None | $263.03 | $398.11 | $933.25 |
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 $151.36 Median $186.21 Typical High $229.09 | Professional | 52 · Reduced service | $151.36 | $186.21 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $74.13 Typical High $91.20 | Professional | 53 · Discontinued | $60.26 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $275.42 Typical High $346.74 | Professional | 54 · Surgery only | $223.87 | $275.42 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $54.95 Typical High $69.18 | Professional | 55 · Aftercare only | $44.67 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $37.15 Typical High $45.71 | Professional | 56 · Pre-op care only | $30.20 | $37.15 | $45.71 |
Where New Jersey sits
The same service costs 6.3 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 $7,350MT $1,166
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.