How much rates vary
Facilitymedian $5,623 · 10th to 90th $1,122 to $10,965Professionalmedian $1,549 · 10th to 90th $1,072 to $2,455
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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $4,073.80 | Professional | None | $1,023.29 | $1,023.29 | $4,073.80 |
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 $1,202.26 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,698.24 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,949.84 Typical High $5,248.07 | Facility | None | $1,230.27 | $1,949.84 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,122.02 | $1,513.56 | $2,041.74 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,238.72 | Facility | None | $1,023.29 | $1,318.26 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $2,089.30 | Professional | None | $977.24 | $1,380.38 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $2,089.30 | Facility | None | $977.24 | $1,949.84 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,905.46 | Professional | None | $691.83 | $977.24 | $1,905.46 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,548.82 | $2,454.71 |
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 $776.25 Median $776.25 Typical High $977.24 | Professional | 54 · Surgery only | $776.25 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $912.01 |
Where Colorado sits
The same service costs 3.4 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 $7,428KY $2,193
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.