How much rates vary
Facilitymedian $13,490 · 10th to 90th $2,754 to $21,380Professionalmedian $3,311 · 10th to 90th $2,344 to $5,248
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 $2,344.23 Median $2,344.23 Typical High $3,311.31 | Professional | None | $2,344.23 | $2,344.23 | $3,311.31 |
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 $2,691.53 Median $3,890.45 Typical High $5,754.40 | Professional | None | $2,691.53 | $3,890.45 | $5,754.40 |
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 $2,344.23 Median $3,019.95 Typical High $4,897.79 | Facility | None | $2,344.23 | $3,019.95 | $4,897.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,365.16 | Professional | None | $2,187.76 | $2,884.03 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $4,570.88 Typical High $6,165.95 | Facility | None | $2,187.76 | $4,570.88 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,187.76 | $2,454.71 | $3,311.31 |
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 $2,398.83 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,398.83 | $3,090.30 | $4,897.79 |
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 $1,778.28 Median $1,778.28 Typical High $1,819.70 | Professional | 54 · Surgery only | $1,778.28 | $1,778.28 | $1,819.70 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,698.24 |
Where Colorado sits
The same service costs 4.0 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 $19,545KY $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.