How much rates vary
Facilitymedian $15,136 · 10th to 90th $2,455 to $28,184Professionalmedian $1,862 · 10th to 90th $1,202 to $2,818
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 $1,513.56 Median $3,235.94 Typical High $10,715.19 | Facility | None | $1,513.56 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $2,754.23 | Professional | None | $1,202.26 | $1,258.93 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $14,791.08 Median $18,197.01 Typical High $38,904.51 | Facility | None | $14,791.08 | $18,197.01 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,380.38 | $1,905.46 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $4,466.84 Typical High $8,709.64 | Facility | None | $933.25 | $4,466.84 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,862.09 | $2,754.23 |
Denver HMP Setting Facility Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,187.76 | Facility | None | $1,202.26 | $1,737.80 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,548.82 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,548.82 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $7,585.78 | Facility | None | $1,096.48 | $2,187.76 | $7,585.78 |
Select Health Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,137.96 | Professional | None | $758.58 | $1,096.48 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $16,218.10 | Facility | None | $2,511.89 | $7,079.46 | $16,218.10 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,089.30 Typical High $3,467.37 | Professional | None | $1,698.24 | $2,089.30 | $3,467.37 |
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 $588.84 Median $602.56 Typical High $660.69 | Professional | 52 · Reduced service | $588.84 | $602.56 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $239.88 Typical High $263.03 | Professional | 53 · Discontinued | $234.42 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $891.25 Typical High $977.24 | Professional | 54 · Surgery only | $870.96 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $194.98 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $120.23 Typical High $131.83 | Professional | 56 · Pre-op care only | $117.49 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $831.76 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $812.83 | $831.76 | $912.01 |
Where Colorado sits
The same service costs 6.3 times more in Wyoming than in Hawaii. 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
WY $21,505HI $3,422
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.