How much rates vary
Facilitymedian $3,715 · 10th to 90th $676 to $8,318Professionalmedian $724 · 10th to 90th $537 to $1,122
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 $562.34 Median $1,862.09 Typical High $8,912.51 | Facility | None | $562.34 | $1,862.09 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $954.99 | Professional | None | $524.81 | $562.34 | $954.99 |
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 $602.56 Median $851.14 Typical High $1,288.25 | Professional | None | $602.56 | $851.14 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $2,691.53 | Facility | None | $691.83 | $1,318.26 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $954.99 | Professional | None | $575.44 | $676.08 | $954.99 |
Denver HMP Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $1,258.93 | Facility | None | $524.81 | $758.58 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $851.14 Typical High $1,148.15 | Professional | None | $616.60 | $851.14 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,445.44 | Facility | None | $645.65 | $1,202.26 | $1,445.44 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $851.14 | Professional | None | $524.81 | $645.65 | $851.14 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $2,951.21 | Facility | None | $489.78 | $1,174.90 | $2,951.21 |
United Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,096.48 | Professional | None | $537.03 | $707.95 | $1,096.48 |
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 $263.03 Median $275.42 Typical High $281.84 | Professional | 52 · Reduced service | $263.03 | $275.42 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $416.87 Typical High $426.58 | Professional | 54 · Surgery only | $398.11 | $416.87 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $83.18 Typical High $85.11 | Professional | 55 · Aftercare only | $79.43 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $54.95 Typical High $56.23 | Professional | 56 · Pre-op care only | $52.48 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $389.05 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $371.54 | $389.05 | $398.11 |
Where Colorado sits
The same service costs 4.0 times more in Colorado than in Florida. 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
CO $4,440FL $1,118
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.