How much rates vary
Facilitymedian $1,380 · 10th to 90th $832 to $3,715Professionalmedian $389 · 10th to 90th $224 to $676
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 $389.05 Median $1,288.25 Typical High $3,467.37 | Facility | None | $389.05 | $1,288.25 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $630.96 | Professional | None | $323.59 | $436.52 | $630.96 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $416.87 | Professional | None | $169.82 | $213.80 | $416.87 |
BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,122.02 Typical High $3,548.13 | Facility | None | $954.99 | $1,122.02 | $3,548.13 |
BCBS Setting Professional Modifier None Typical Low $239.88 Median $398.11 Typical High $676.08 | Professional | None | $239.88 | $398.11 | $676.08 |
Christus Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $1,659.59 | Facility | None | $524.81 | $912.01 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $323.59 Typical High $630.96 | Professional | None | $223.87 | $323.59 | $630.96 |
United Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $5,754.40 | Facility | None | $851.14 | $1,584.89 | $5,754.40 |
United Setting Professional Modifier None Typical Low $208.93 Median $389.05 Typical High $724.44 | Professional | None | $208.93 | $389.05 | $724.44 |
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 $162.18 Median $199.53 Typical High $302.00 | Professional | 52 · Reduced service | $162.18 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $64.57 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $295.12 Typical High $446.68 | Professional | 54 · Surgery only | $239.88 | $295.12 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $58.88 Typical High $89.13 | Professional | 55 · Aftercare only | $47.86 | $58.88 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $39.81 Typical High $60.26 | Professional | 56 · Pre-op care only | $32.36 | $39.81 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $275.42 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $223.87 | $275.42 | $416.87 |
Where Louisiana 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.