How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,512 to $15,488Professionalmedian $1,122 · 10th to 90th $794 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 $1,258.93 Median $4,168.69 Typical High $11,748.98 | Facility | None | $1,258.93 | $4,168.69 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,148.15 | Professional | None | $794.33 | $794.33 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,949.84 | Professional | None | $912.01 | $1,318.26 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $4,265.80 Typical High $5,754.40 | Facility | None | $1,318.26 | $4,265.80 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,000.00 Typical High $1,412.54 | Professional | None | $812.83 | $1,000.00 | $1,412.54 |
Denver HMP Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,659.59 | Facility | None | $794.33 | $1,023.29 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $954.99 Typical High $1,445.44 | Professional | None | $724.44 | $954.99 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,445.44 Typical High $5,011.87 | Facility | None | $724.44 | $1,445.44 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $831.76 Typical High $1,071.52 | Professional | None | $724.44 | $831.76 | $1,071.52 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,023.29 Typical High $1,621.81 | Professional | None | $776.25 | $1,023.29 | $1,621.81 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $562.34 | $562.34 | $562.34 |
Where Colorado sits
The same service costs 4.9 times more in Alaska 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
AK $10,315KY $2,095
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.