How much rates vary
Facilitymedian $6,761 · 10th to 90th $2,570 to $13,183Professionalmedian $1,622 · 10th to 90th $1,175 to $2,630
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 $1,995.26 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,995.26 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,174.90 | $1,174.90 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,905.46 Typical High $2,818.38 | Professional | None | $1,348.96 | $1,905.46 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $5,754.40 Typical High $9,120.11 | Facility | None | $812.83 | $5,754.40 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $2,089.30 | Professional | None | $1,202.26 | $1,479.11 | $2,089.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $2,454.71 | Facility | None | $1,174.90 | $1,479.11 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,412.54 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $2,238.72 Typical High $7,943.28 | Facility | None | $1,071.52 | $2,238.72 | $7,943.28 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,621.81 | Professional | None | $1,071.52 | $1,230.27 | $1,621.81 |
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 $1,174.90 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,548.82 | $2,454.71 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | 52 · Reduced service | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 53 · Discontinued | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $891.25 | Professional | 54 · Surgery only | $870.96 | $870.96 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $831.76 |
Where Colorado sits
The same service costs 5.5 times more in Alaska than in Texas. 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 $14,559TX $2,668
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.