How much rates vary
Facilitymedian $4,169 · 10th to 90th $851 to $7,943Professionalmedian $603 · 10th to 90th $229 to $1,660
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 $3,090.30 Median $5,128.61 Typical High $7,079.46 | Facility | None | $3,090.30 | $5,128.61 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $380.19 Typical High $1,202.26 | Professional | None | $223.87 | $380.19 | $1,202.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $4,168.69 Typical High $8,912.51 | Facility | None | $2,754.23 | $4,168.69 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $588.84 Typical High $1,513.56 | Professional | None | $257.04 | $588.84 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $3,548.13 Typical High $4,365.16 | Facility | None | $741.31 | $3,548.13 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $707.95 Typical High $2,398.83 | Professional | None | $275.42 | $707.95 | $2,398.83 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,479.11 | Professional | None | $1,047.13 | $1,047.13 | $1,479.11 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,912.51 | Facility | None | $776.25 | $4,786.30 | $8,912.51 |
United Setting Professional Modifier None Typical Low $199.53 Median $616.60 Typical High $2,137.96 | Professional | None | $199.53 | $616.60 | $2,137.96 |
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 $144.54 Median $169.82 Typical High $602.56 | Professional | 52 · Reduced service | $144.54 | $169.82 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $69.18 Typical High $239.88 | Professional | 53 · Discontinued | $57.54 | $69.18 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $257.04 Typical High $912.01 | Professional | 54 · Surgery only | $213.80 | $257.04 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $51.29 Typical High $181.97 | Professional | 55 · Aftercare only | $42.66 | $51.29 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $33.88 Typical High $120.23 | Professional | 56 · Pre-op care only | $28.84 | $33.88 | $120.23 |
Where Connecticut sits
The same service costs 4.0 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 $5,041MT $1,267
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.