How much rates vary
Facilitymedian $1,950 · 10th to 90th $891 to $2,884Professionalmedian $724 · 10th to 90th $186 to $1,479
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 $645.65 Median $1,230.27 Typical High $2,398.83 | Facility | None | $645.65 | $1,230.27 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $575.44 Typical High $1,479.11 | Professional | None | $302.00 | $575.44 | $1,479.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $229.09 Median $288.40 Typical High $1,122.02 | Professional | 54 · Surgery only | $229.09 | $288.40 | $1,122.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $213.80 Median $269.15 Typical High $1,047.13 | Professional | 78 · Unplanned return to OR | $213.80 | $269.15 | $1,047.13 |
BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $1,071.52 | Professional | None | $588.84 | $794.33 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,548.82 | Facility | None | $724.44 | $1,096.48 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $575.44 Typical High $977.24 | Professional | None | $257.04 | $575.44 | $977.24 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,737.80 Typical High $4,073.80 | Facility | None | $758.58 | $1,737.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $138.04 Median $549.54 Typical High $851.14 | Professional | None | $138.04 | $549.54 | $851.14 |
1 more rate 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 |
|---|---|---|---|---|---|
BCBS Setting Facility Modifier 50 · Both sides Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | 50 · Both sides | $2,951.21 | $2,951.21 | $2,951.21 |
Where Alabama sits
The same service costs 3.5 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 $4,667MT $1,347
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.