How much rates vary
Facilitymedian $6,607 · 10th to 90th $1,413 to $16,982Professionalmedian $1,023 · 10th to 90th $813 to $2,188
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 $1,000.00 Median $8,511.38 Typical High $19,054.61 | Facility | None | $1,000.00 | $8,511.38 | $19,054.61 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,698.24 | Professional | None | $812.83 | $1,000.00 | $1,698.24 |
Ambetter Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,621.81 | $1,621.81 | $1,621.81 |
AmeriHealth Setting Facility Modifier None Typical Low $2,818.38 Median $5,128.61 Typical High $14,454.40 | Facility | None | $2,818.38 | $5,128.61 | $14,454.40 |
AmeriHealth Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $2,691.53 | Professional | None | $912.01 | $1,230.27 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $11,220.18 | Facility | None | $3,235.94 | $6,760.83 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $933.25 Typical High $2,344.23 | Professional | None | $812.83 | $933.25 | $2,344.23 |
Emblem Health Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,318.26 | Professional | None | $912.01 | $1,318.26 | $1,318.26 |
Horizon BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $14,125.38 Typical High $39,810.72 | Facility | None | $7,585.78 | $14,125.38 | $39,810.72 |
Horizon BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $2,754.23 | Professional | None | $870.96 | $1,023.29 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $4,786.30 Typical High $11,481.54 | Facility | None | $1,621.81 | $4,786.30 | $11,481.54 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,096.48 Typical High $2,041.74 | Professional | None | $812.83 | $1,096.48 | $2,041.74 |
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 $660.69 Median $741.31 Typical High $812.83 | Professional | 54 · Surgery only | $660.69 | $741.31 | $812.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $691.83 Typical High $758.58 | Professional | 78 · Unplanned return to OR | $630.96 | $691.83 | $758.58 |
Where New Jersey sits
The same service costs 5.2 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 $15,153MT $2,892
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.