How much rates vary
Facilitymedian $1,413 · 10th to 90th $209 to $4,169Professionalmedian $234 · 10th to 90th $148 to $832
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 $162.18 Median $794.33 Typical High $1,479.11 | Facility | None | $162.18 | $794.33 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $645.65 Typical High $831.76 | Professional | None | $162.18 | $645.65 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $724.44 Median $1,995.26 Typical High $4,265.80 | Facility | None | $724.44 | $1,995.26 | $4,265.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $380.19 | Professional | None | $131.83 | $223.87 | $380.19 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $331.13 Typical High $562.34 | Professional | 50 · Both sides | $194.98 | $331.13 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $1,737.80 | Facility | None | $141.25 | $223.87 | $1,737.80 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $234.42 | Professional | None | $128.82 | $199.53 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $851.14 Typical High $1,318.26 | Facility | None | $34.67 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $741.31 Typical High $3,981.07 | Professional | None | $144.54 | $741.31 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None | $33.11 | $33.11 | $169.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $1,174.90 Typical High $3,890.45 | Facility | None | $707.95 | $1,174.90 | $3,890.45 |
United Setting Professional Modifier None Typical Low $208.93 Median $549.54 Typical High $851.14 | Professional | None | $208.93 | $549.54 | $851.14 |
4 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 Facility Modifier 54 · Surgery only Typical Low $120.23 Median $125.89 Typical High $616.60 | Facility | 54 · Surgery only | $120.23 | $125.89 | $616.60 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $117.49 Typical High $575.44 | Facility | 78 · Unplanned return to OR | $112.20 | $117.49 | $575.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $501.19 Typical High $616.60 | Professional | 54 · Surgery only | $120.23 | $501.19 | $616.60 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $112.20 Median $467.74 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $112.20 | $467.74 | $575.44 |
Where Kentucky 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.