How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,096 to $10,715Professionalmedian $407 · 10th to 90th $324 to $891
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 $1,348.96 Median $3,801.89 Typical High $7,762.47 | Facility | None | $1,348.96 | $3,801.89 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $512.86 | Professional | None | $398.11 | $489.78 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $758.58 | Professional | None | $346.74 | $407.38 | $758.58 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $616.60 Typical High $1,148.15 | Professional | 50 · Both sides | $512.86 | $616.60 | $1,148.15 |
CDPHP Setting Facility Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $4,073.80 | Facility | None | $1,148.15 | $1,348.96 | $4,073.80 |
CDPHP Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | None | $489.78 | $489.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $4,365.16 Typical High $8,912.51 | Facility | None | $954.99 | $4,365.16 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $436.52 Typical High $1,513.56 | Professional | None | $302.00 | $436.52 | $1,513.56 |
Emblem Health Setting Facility Modifier None Typical Low $245.47 Median $389.05 Typical High $1,202.26 | Facility | None | $245.47 | $389.05 | $1,202.26 |
Emblem Health Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $891.25 | Professional | None | $478.63 | $549.54 | $891.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $302.00 Median $416.87 Typical High $676.08 | Professional | None | $302.00 | $416.87 | $676.08 |
MVP Health Care Setting Facility Modifier None Typical Low $407.38 Median $1,819.70 Typical High $8,511.38 | Facility | None | $407.38 | $1,819.70 | $8,511.38 |
MVP Health Care Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Professional | None | $371.54 | $371.54 | $1,047.13 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,754.23 Typical High $8,709.64 | Facility | None | $1,122.02 | $2,754.23 | $8,709.64 |
United Setting Professional Modifier None Typical Low $275.42 Median $426.58 Typical High $1,148.15 | Professional | None | $275.42 | $426.58 | $1,148.15 |
Univera Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $1,202.26 | Facility | None | $288.40 | $380.19 | $1,202.26 |
Univera Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $676.08 | Professional | None | $302.00 | $380.19 | $676.08 |
6 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 $199.53 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $199.53 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $91.20 Typical High $102.33 | Professional | 53 · Discontinued | $79.43 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $346.74 Typical High $389.05 | Professional | 54 · Surgery only | $302.00 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $60.26 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $45.71 Typical High $51.29 | Professional | 56 · Pre-op care only | $39.81 | $45.71 | $51.29 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $288.40 Typical High $436.52 | Professional | 53 · Discontinued | $218.78 | $288.40 | $436.52 |
Where New York 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.