How much rates vary
Facilitymedian $13,490 · 10th to 90th $2,754 to $21,380Professionalmedian $3,311 · 10th to 90th $2,399 to $5,370
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 $2,570.40 Median $5,495.41 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,019.95 | Professional | None | $2,398.83 | $2,398.83 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $25,703.96 | Facility | None | $10,000.00 | $15,135.61 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,888.44 | Professional | None | $2,754.23 | $3,890.45 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,677.35 Typical High $7,079.46 | Facility | None | $758.58 | $4,677.35 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $4,168.69 | Professional | None | $2,398.83 | $2,951.21 | $4,168.69 |
Denver HMP Setting Facility Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $5,011.87 | Facility | None | $2,398.83 | $3,090.30 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $3,019.95 Typical High $4,466.84 | Professional | None | $2,238.72 | $3,019.95 | $4,466.84 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $4,786.30 Typical High $6,165.95 | Facility | None | $2,238.72 | $4,786.30 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,238.72 | $2,511.89 | $3,388.44 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,025.60 | $15,488.17 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,162.28 Typical High $5,011.87 | Professional | None | $2,344.23 | $3,162.28 | $5,011.87 |
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 $1,202.26 Median $1,202.26 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,819.70 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $371.54 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $245.47 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,698.24 | $1,698.24 | $1,737.80 |
Where Colorado sits
The same service costs 4.0 times more in Alaska 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
AK $19,772TX $4,915
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.