How much rates vary
Facilitymedian $4,169 · 10th to 90th $851 to $7,943Professionalmedian $676 · 10th to 90th $234 to $1,738
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 $199.53 Median $691.83 Typical High $1,258.93 | Professional | None | $199.53 | $691.83 | $1,258.93 |
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 $281.84 Median $616.60 Typical High $1,584.89 | Professional | None | $281.84 | $616.60 | $1,584.89 |
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 $234.42 Median $1,000.00 Typical High $2,290.87 | Professional | None | $234.42 | $1,000.00 | $2,290.87 |
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 $1,258.93 Median $1,258.93 Typical High $1,548.82 | Professional | None | $1,258.93 | $1,258.93 | $1,548.82 |
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 $204.17 Median $676.08 Typical High $2,187.76 | Professional | None | $204.17 | $676.08 | $2,187.76 |
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 $123.03 Median $199.53 Typical High $630.96 | Professional | 52 · Reduced service | $123.03 | $199.53 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $79.43 Typical High $251.19 | Professional | 53 · Discontinued | $50.12 | $79.43 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $295.12 Typical High $954.99 | Professional | 54 · Surgery only | $186.21 | $295.12 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $58.88 Typical High $190.55 | Professional | 55 · Aftercare only | $37.15 | $58.88 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $39.81 Typical High $125.89 | Professional | 56 · Pre-op care only | $24.55 | $39.81 | $125.89 |
Where Connecticut sits
The same service costs 3.8 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 $5,124MT $1,344
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.