How much rates vary
Facilitymedian $5,248 · 10th to 90th $2,512 to $11,220Professionalmedian $1,122 · 10th to 90th $776 to $1,778
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 $1,148.15 Median $3,981.07 Typical High $8,912.51 | Facility | None | $1,148.15 | $3,981.07 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,905.46 | Professional | None | $912.01 | $1,288.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,344.23 Typical High $2,691.53 | Facility | None | $645.65 | $2,344.23 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,445.44 | Professional | None | $870.96 | $1,047.13 | $1,445.44 |
Denver HMP Setting Facility Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,548.82 | Facility | None | $776.25 | $1,096.48 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,412.54 | Professional | None | $676.08 | $912.01 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $1,445.44 | Facility | None | $676.08 | $1,348.96 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $812.83 Typical High $1,023.29 | Professional | None | $676.08 | $812.83 | $1,023.29 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,456.54 Typical High $15,848.93 | Facility | None | $2,511.89 | $6,456.54 | $15,848.93 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,737.80 | Professional | None | $851.14 | $1,096.48 | $1,737.80 |
5 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 $389.05 Median $389.05 Typical High $398.11 | Professional | 52 · Reduced service | $389.05 | $389.05 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 53 · Discontinued | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 54 · Surgery only | $588.84 | $588.84 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $79.43 |
Where Colorado sits
The same service costs 4.6 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 $9,843KY $2,122
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.