How much rates vary
Facilitymedian $18,621 · 10th to 90th $2,089 to $38,019Professionalmedian $1,622 · 10th to 90th $1,175 to $2,630
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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,659.59 | Professional | None | $1,174.90 | $1,174.90 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $50,118.72 | Facility | None | $15,848.93 | $20,892.96 | $50,118.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,905.46 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $19,054.61 Typical High $33,884.42 | Facility | None | $1,778.28 | $19,054.61 | $33,884.42 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,096.48 | $1,445.44 | $2,089.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,479.11 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,412.54 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $2,137.96 Typical High $29,512.09 | Facility | None | $1,071.52 | $2,137.96 | $29,512.09 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,202.26 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,122.02 | $1,548.82 | $2,398.83 |
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 $870.96 Median $870.96 Typical High $891.25 | Professional | 54 · Surgery only | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $831.76 |
Where Colorado sits
The same service costs 8.5 times more in Wyoming than in Kentucky. 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 $22,644KY $2,656
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.