How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,995 to $12,882Professionalmedian $708 · 10th to 90th $501 to $1,122
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 $851.14 Median $3,235.94 Typical High $10,715.19 | Facility | None | $851.14 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $776.25 | Professional | None | $501.19 | $501.19 | $776.25 |
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 $588.84 Median $812.83 Typical High $1,230.27 | Professional | None | $588.84 | $812.83 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,344.23 Typical High $3,090.30 | Facility | None | $758.58 | $2,344.23 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $891.25 | Professional | None | $537.03 | $630.96 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $1,122.02 | Facility | None | $501.19 | $707.95 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $676.08 Typical High $1,000.00 | Professional | None | $501.19 | $676.08 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $1,047.13 Typical High $2,754.23 | Facility | None | $501.19 | $1,047.13 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $758.58 | Professional | None | $501.19 | $524.81 | $758.58 |
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 $524.81 Median $676.08 Typical High $1,047.13 | Professional | None | $524.81 | $676.08 | $1,047.13 |
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 $251.19 Median $251.19 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $371.54 Typical High $380.19 | Professional | 54 · Surgery only | $371.54 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 56 · Pre-op care only | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $346.74 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $346.74 | $346.74 | $354.81 |
Where Colorado sits
The same service costs 6.3 times more in Oklahoma than in Texas. 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 $9,723TX $1,554
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.