How much rates vary
Facilitymedian $4,365 · 10th to 90th $933 to $8,511Professionalmedian $1,072 · 10th to 90th $759 to $1,820
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 $1,479.11 Median $3,715.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $912.01 Typical High $1,380.38 | Professional | None | $724.44 | $912.01 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,202.26 Typical High $2,041.74 | Professional | None | $851.14 | $1,202.26 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,659.59 Typical High $2,691.53 | Facility | None | $691.83 | $1,659.59 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,348.96 | Professional | None | $758.58 | $954.99 | $1,348.96 |
Denver HMP Setting Facility Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,412.54 | Facility | None | $741.31 | $1,047.13 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,148.15 Typical High $1,698.24 | Professional | None | $707.95 | $1,148.15 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,737.80 Typical High $2,137.96 | Facility | None | $1,000.00 | $1,737.80 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $851.14 Typical High $1,000.00 | Professional | None | $478.63 | $851.14 | $1,000.00 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,698.24 | Professional | None | $794.33 | $1,047.13 | $1,698.24 |
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 $371.54 Median $407.38 Typical High $467.74 | Professional | 52 · Reduced service | $371.54 | $407.38 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $165.96 Typical High $186.21 | Professional | 53 · Discontinued | $147.91 | $165.96 | $186.21 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $616.60 Typical High $691.83 | Professional | 54 · Surgery only | $549.54 | $616.60 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $123.03 Typical High $138.04 | Professional | 55 · Aftercare only | $109.65 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | 56 · Pre-op care only | $74.13 | $83.18 | $93.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $575.44 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $512.86 | $575.44 | $645.65 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Delaware. 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
AK $6,113DE $1,645
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.