How much rates vary
Facilitymedian $14,454 · 10th to 90th $2,512 to $25,704Professionalmedian $1,413 · 10th to 90th $1,023 to $2,291
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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | None | $1,023.29 | $1,023.29 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,659.59 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $8,912.51 Typical High $17,378.01 | Facility | None | $691.83 | $8,912.51 | $17,378.01 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,258.93 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,258.93 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,318.26 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,905.46 | Professional | None | $954.99 | $1,258.93 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $15,135.61 | Facility | None | $954.99 | $1,905.46 | $15,135.61 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,412.54 | Professional | None | $954.99 | $1,071.52 | $1,412.54 |
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 $1,023.29 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,318.26 | $2,089.30 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $724.44 |
Where Colorado sits
The same service costs 7.2 times more in Alaska than in Hawaii. 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 $19,657HI $2,734
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.