How much rates vary
Facilitymedian $2,754 · 10th to 90th $1,148 to $7,586Professionalmedian $251 · 10th to 90th $170 to $355
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 $2,754.23 Median $5,495.41 Typical High $11,748.98 | Facility | None | $2,754.23 | $5,495.41 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $275.42 | Professional | None | $251.19 | $251.19 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,548.82 Typical High $2,511.89 | Facility | None | $691.83 | $1,548.82 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $389.05 | Professional | None | $190.55 | $204.17 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $323.59 | Professional | None | $245.47 | $323.59 | $323.59 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $3,019.95 Typical High $8,912.51 | Facility | None | $1,584.89 | $3,019.95 | $8,912.51 |
Horizon BCBS Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $380.19 | Professional | None | $251.19 | $288.40 | $380.19 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $2,884.03 Typical High $6,760.83 | Facility | None | $1,122.02 | $2,884.03 | $6,760.83 |
United Setting Professional Modifier None Typical Low $154.88 Median $204.17 Typical High $295.12 | Professional | None | $154.88 | $204.17 | $295.12 |
5 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 $125.89 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $125.89 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | 54 · Surgery only | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $26.92 |
Where New Jersey sits
The same service costs 6.4 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 $4,783MT $743
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.