How much rates vary
Facilitymedian $10,715 · 10th to 90th $1,905 to $21,380Professionalmedian $1,445 · 10th to 90th $1,072 to $2,399
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 $1,621.81 Median $3,235.94 Typical High $10,715.19 | Facility | None | $1,621.81 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,513.56 | Professional | None | $1,047.13 | $1,071.52 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $15,135.61 Typical High $25,703.96 | Facility | None | $10,000.00 | $15,135.61 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,737.80 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,466.84 Typical High $7,079.46 | Facility | None | $831.76 | $4,466.84 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,778.28 | Professional | None | $1,000.00 | $1,230.27 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $954.99 Median $1,318.26 Typical High $2,290.87 | Facility | None | $954.99 | $1,318.26 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,348.96 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $6,165.95 | Facility | None | $1,023.29 | $2,041.74 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,513.56 | Professional | None | $1,023.29 | $1,096.48 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $2,089.30 | Professional | None | $977.24 | $1,288.25 | $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 $524.81 Median $524.81 Typical High $524.81 | Professional | 52 · Reduced service | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Delaware. 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 $12,209DE $3,093
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.