How much rates vary
Facilitymedian $1,096 · 10th to 90th $562 to $3,890Professionalmedian $468 · 10th to 90th $204 to $977
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 $380.19 Median $758.58 Typical High $1,819.70 | Facility | None | $380.19 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $562.34 Typical High $1,202.26 | Professional | None | $177.83 | $562.34 | $1,202.26 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $537.03 | Professional | None | $151.36 | $213.80 | $537.03 |
BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $912.01 Typical High $1,819.70 | Facility | None | $512.86 | $912.01 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $407.38 Typical High $691.83 | Professional | None | $229.09 | $407.38 | $691.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $4,897.79 | Facility | None | $758.58 | $1,412.54 | $4,897.79 |
United Setting Professional Modifier None Typical Low $213.80 Median $398.11 Typical High $912.01 | Professional | None | $213.80 | $398.11 | $912.01 |
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 $89.13 Median $281.84 Typical High $602.56 | Professional | 52 · Reduced service | $89.13 | $281.84 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $112.20 Typical High $239.88 | Professional | 53 · Discontinued | $35.48 | $112.20 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $426.58 Typical High $891.25 | Professional | 54 · Surgery only | $131.83 | $426.58 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $85.11 Typical High $181.97 | Professional | 55 · Aftercare only | $26.92 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $56.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $17.78 | $56.23 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $398.11 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $123.03 | $398.11 | $831.76 |
Where Mississippi 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.