How much rates vary
Facilitymedian $6,026 · 10th to 90th $1,318 to $12,589Professionalmedian $537 · 10th to 90th $339 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 $501.19 Median $3,548.13 Typical High $10,715.19 | Facility | None | $501.19 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $630.96 | Professional | None | $338.84 | $338.84 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $562.34 Typical High $851.14 | Professional | None | $398.11 | $562.34 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $2,691.53 | Facility | None | $691.83 | $1,778.28 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $870.96 | Professional | None | $398.11 | $630.96 | $870.96 |
Denver HMP Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $851.14 | Facility | None | $338.84 | $478.63 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $398.11 Typical High $616.60 | Professional | None | $316.23 | $398.11 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $602.56 Typical High $2,089.30 | Facility | None | $302.00 | $602.56 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $457.09 | Professional | None | $302.00 | $354.81 | $457.09 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $380.19 Median $602.56 Typical High $933.25 | Professional | None | $380.19 | $602.56 | $933.25 |
5 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 $169.82 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $67.61 | $67.61 | $70.79 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | 54 · Surgery only | $251.19 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | 56 · Pre-op care only | $33.88 | $33.88 | $34.67 |
Where Colorado sits
The same service costs 6.1 times more in Oklahoma 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
OK $6,602MT $1,074
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.