How much rates vary
Facilitymedian $1,549 · 10th to 90th $501 to $6,310Professionalmedian $550 · 10th to 90th $372 to $6,166
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 $630.96 Median $2,511.89 Typical High $7,585.78 | Facility | None | $630.96 | $2,511.89 | $7,585.78 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $2,570.40 | Professional | None | $389.05 | $478.63 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $2,951.21 Typical High $3,467.37 | Facility | None | $407.38 | $2,951.21 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $602.56 | Professional | None | $398.11 | $512.86 | $602.56 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $6,025.60 | Facility | None | $501.19 | $741.31 | $6,025.60 |
Medica Setting Professional Modifier None Typical Low $446.68 Median $2,570.40 Typical High $6,165.95 | Professional | None | $446.68 | $2,570.40 | $6,165.95 |
United Setting Facility Modifier None Typical Low $933.25 Median $2,951.21 Typical High $6,309.57 | Facility | None | $933.25 | $2,951.21 | $6,309.57 |
United Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $676.08 | Professional | None | $331.13 | $446.68 | $676.08 |
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 $194.98 Median $199.53 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $199.53 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | 53 · Discontinued | $79.43 | $79.43 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $302.00 Typical High $363.08 | Professional | 54 · Surgery only | $295.12 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $60.26 Typical High $72.44 | Professional | 55 · Aftercare only | $58.88 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $39.81 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $39.81 | $47.86 |
Where Oklahoma 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.