How much rates vary
Facilitymedian $4,169 · 10th to 90th $813 to $7,943Professionalmedian $562 · 10th to 90th $331 to $813
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 $3,467.37 Median $5,248.07 Typical High $7,943.28 | Facility | None | $3,467.37 | $5,248.07 | $7,943.28 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $602.56 | Professional | None | $389.05 | $588.84 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $4,168.69 Typical High $7,943.28 | Facility | None | $3,548.13 | $4,168.69 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $338.84 Median $630.96 Typical High $812.83 | Professional | None | $338.84 | $630.96 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $2,238.72 Typical High $2,951.21 | Facility | None | $741.31 | $2,238.72 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $831.76 | Professional | None | $323.59 | $457.09 | $831.76 |
ConnectiCare Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $758.58 | Facility | None | $446.68 | $602.56 | $758.58 |
ConnectiCare Setting Professional Modifier None Typical Low $234.42 Median $389.05 Typical High $630.96 | Professional | None | $234.42 | $389.05 | $630.96 |
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 $323.59 Median $446.68 Typical High $1,230.27 | Professional | None | $323.59 | $446.68 | $1,230.27 |
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 $218.78 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $218.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $331.13 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $66.07 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $43.65 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $416.87 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $309.03 | $416.87 | $416.87 |
Where Connecticut sits
The same service costs 4.5 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 $4,914MT $1,099
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.