How much rates vary
Facilitymedian $6,761 · 10th to 90th $2,692 to $13,183Professionalmedian $2,042 · 10th to 90th $1,413 to $3,311
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 $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,513.56 | $1,905.46 |
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 $1,698.24 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,698.24 | $2,454.71 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,570.88 Typical High $7,079.46 | Facility | None | $812.83 | $4,570.88 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,348.96 | $1,778.28 | $2,630.27 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $3,090.30 | Facility | None | $1,071.52 | $1,819.70 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,380.38 | $1,819.70 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,380.38 Median $2,884.03 Typical High $6,165.95 | Facility | None | $1,380.38 | $2,884.03 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,380.38 | $1,548.82 | $2,041.74 |
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 $1,000.00 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,000.00 | $1,862.09 | $3,019.95 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | 54 · Surgery only | $1,122.02 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $223.87 Typical High $229.09 | Professional | 55 · Aftercare only | $223.87 | $223.87 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,047.13 | $1,071.52 |
Where Colorado sits
The same service costs 5.5 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 $15,938KY $2,890
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.