How much rates vary
Facilitymedian $3,890 · 10th to 90th $912 to $7,943Professionalmedian $347 · 10th to 90th $200 to $1,122
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 $263.03 Median $288.40 Typical High $1,047.13 | Professional | None | $263.03 | $288.40 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $3,715.35 Typical High $8,128.31 | Facility | None | $1,445.44 | $3,715.35 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | None | $199.53 | $275.42 | $549.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $407.38 Typical High $831.76 | Professional | 50 · Both sides | $295.12 | $407.38 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,000.00 | $2,290.87 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $1,318.26 | Professional | None | $218.78 | $416.87 | $1,318.26 |
ConnectiCare Setting Professional Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,230.27 | Professional | None | $630.96 | $1,023.29 | $1,230.27 |
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 $169.82 Median $630.96 Typical High $2,238.72 | Professional | None | $169.82 | $630.96 | $2,238.72 |
2 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 54 · Surgery only Typical Low $194.98 Median $218.78 Typical High $794.33 | Professional | 54 · Surgery only | $194.98 | $218.78 | $794.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $204.17 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $181.97 | $204.17 | $741.31 |
Where Connecticut 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.