How much rates vary
Facilitymedian $3,715 · 10th to 90th $891 to $8,511Professionalmedian $417 · 10th to 90th $251 to $871
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 $3,311.31 Median $4,677.35 Typical High $9,120.11 | Facility | None | $3,311.31 | $4,677.35 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $691.83 | Professional | None | $257.04 | $446.68 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $512.86 | Professional | None | $213.80 | $295.12 | $512.86 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $316.23 Median $436.52 Typical High $758.58 | Professional | 50 · Both sides | $316.23 | $436.52 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,949.84 Typical High $2,398.83 | Facility | None | $758.58 | $1,949.84 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $933.25 | Professional | None | $371.54 | $575.44 | $933.25 |
ConnectiCare Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,348.96 | $1,412.54 |
ConnectiCare Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $831.76 | Professional | None | $501.19 | $660.69 | $831.76 |
Health New England Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Health New England Setting Professional Modifier None Typical Low $457.09 Median $3,981.07 Typical High $3,981.07 | Professional | None | $457.09 | $3,981.07 | $3,981.07 |
United Setting Facility Modifier None Typical Low $776.25 Median $4,786.30 Typical High $8,709.64 | Facility | None | $776.25 | $4,786.30 | $8,709.64 |
United Setting Professional Modifier None Typical Low $199.53 Median $478.63 Typical High $1,202.26 | Professional | None | $199.53 | $478.63 | $1,202.26 |
6 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 $181.97 Median $199.53 Typical High $346.74 | Professional | 52 · Reduced service | $181.97 | $199.53 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $138.04 | Professional | 53 · Discontinued | $72.44 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $295.12 Typical High $512.86 | Professional | 54 · Surgery only | $275.42 | $295.12 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $58.88 Typical High $102.33 | Professional | 55 · Aftercare only | $54.95 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $39.81 Typical High $69.18 | Professional | 56 · Pre-op care only | $36.31 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $275.42 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $257.04 | $275.42 | $478.63 |
Where Connecticut sits
The same service costs 4.6 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 $4,728MT $1,029
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.