How much rates vary
Facilitymedian $5,370 · 10th to 90th $1,738 to $11,482Professionalmedian $891 · 10th to 90th $724 to $1,445
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 $870.96 Median $3,981.07 Typical High $8,128.31 | Facility | None | $870.96 | $3,981.07 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,122.02 | Professional | None | $794.33 | $794.33 | $1,122.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $8,128.31 Typical High $11,220.18 | Facility | None | $4,897.79 | $8,128.31 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,737.80 | Professional | None | $831.76 | $1,000.00 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $5,888.44 Typical High $17,782.79 | Facility | None | $1,479.11 | $5,888.44 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $812.83 Typical High $1,348.96 | Professional | None | $724.44 | $812.83 | $1,348.96 |
Hometown Health Setting Professional Modifier None Typical Low $12.88 Median $870.96 Typical High $1,258.93 | Professional | None | $12.88 | $870.96 | $1,258.93 |
Hometown Health Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Hometown Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $1,071.52 | Professional | None | $11.22 | $11.22 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $4,265.80 | Facility | None | $724.44 | $724.44 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $3,019.95 Typical High $6,456.54 | Facility | None | $1,905.46 | $3,019.95 | $6,456.54 |
United Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,288.25 | Professional | None | $707.95 | $870.96 | $1,288.25 |
2 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 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | 54 · Surgery only | $588.84 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $602.56 |
Where Nevada sits
The same service costs 6.1 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 $15,685MT $2,577
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.