How much rates vary
Facilitymedian $18,621 · 10th to 90th $4,169 to $42,658Professionalmedian $2,455 · 10th to 90th $1,738 to $3,981
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 $2,691.53 Median $6,025.60 Typical High $12,882.50 | Facility | None | $2,691.53 | $6,025.60 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,737.80 | $1,737.80 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $50,118.72 | Facility | None | $15,848.93 | $20,892.96 | $50,118.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,041.74 | $2,884.03 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $16,595.87 Typical High $22,908.68 | Facility | None | $758.58 | $16,595.87 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,162.28 | Professional | None | $1,949.84 | $2,344.23 | $3,162.28 |
Denver HMP Setting Facility Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $3,630.78 | Facility | None | $1,737.80 | $2,137.96 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $2,089.30 Typical High $3,162.28 | Professional | None | $1,584.89 | $2,089.30 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $3,162.28 Typical High $19,952.62 | Facility | None | $1,584.89 | $3,162.28 | $19,952.62 |
Select Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,584.89 | $1,819.70 | $2,344.23 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $10,232.93 Typical High $22,387.21 | Facility | None | $4,570.88 | $10,232.93 | $22,387.21 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,862.09 | $2,454.71 | $3,715.35 |
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 $870.96 Median $870.96 Typical High $891.25 | Professional | 52 · Reduced service | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,318.26 Median $1,318.26 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,318.26 | $1,318.26 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | 55 · Aftercare only | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 56 · Pre-op care only | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,230.27 Median $1,230.27 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,230.27 | $1,230.27 | $1,258.93 |
Where Colorado sits
The same service costs 7.8 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 $31,233KY $3,989
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.