How much rates vary
Facilitymedian $7,943 · 10th to 90th $3,020 to $22,909Professionalmedian $1,549 · 10th to 90th $1,122 to $2,512
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 $6,165.95 Typical High $14,791.08 | Facility | None | $2,570.40 | $6,165.95 | $14,791.08 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,513.56 | Professional | None | $1,122.02 | $1,122.02 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $7,762.47 Typical High $22,387.21 | Facility | None | $6,165.95 | $7,762.47 | $22,387.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,862.09 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $12,302.69 Typical High $19,054.61 | Facility | None | $812.83 | $12,302.69 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,148.15 | $1,412.54 | $1,995.26 |
Denver HMP Setting Facility Modifier None Typical Low $1,122.02 Median $1,445.44 Typical High $2,344.23 | Facility | None | $1,122.02 | $1,445.44 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,380.38 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,187.76 Typical High $14,454.40 | Facility | None | $1,047.13 | $2,187.76 | $14,454.40 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,548.82 | Professional | None | $1,047.13 | $1,174.90 | $1,548.82 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,244.36 Typical High $28,183.83 | Facility | None | $2,511.89 | $7,244.36 | $28,183.83 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,479.11 Typical High $2,344.23 | Professional | None | $1,122.02 | $1,479.11 | $2,344.23 |
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 $562.34 Median $562.34 Typical High $575.44 | Professional | 52 · Reduced service | $562.34 | $562.34 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $794.33 |
Where Colorado sits
The same service costs 10.4 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 $29,118KY $2,808
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.