How much rates vary
Facilitymedian $2,692 · 10th to 90th $955 to $5,623Professionalmedian $1,023 · 10th to 90th $724 to $1,622
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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None | $724.44 | $724.44 | $933.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,778.28 | Professional | None | $831.76 | $1,174.90 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,412.54 Typical High $2,691.53 | Facility | None | $812.83 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $933.25 Typical High $1,288.25 | Professional | None | $776.25 | $933.25 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $724.44 Median $954.99 Typical High $1,584.89 | Facility | None | $724.44 | $954.99 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $933.25 Typical High $1,380.38 | Professional | None | $691.83 | $933.25 | $1,380.38 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $1,479.11 | Facility | None | $691.83 | $1,380.38 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $691.83 Median $758.58 Typical High $1,047.13 | Professional | None | $691.83 | $758.58 | $1,047.13 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $758.58 Median $977.24 Typical High $1,548.82 | Professional | None | $758.58 | $977.24 | $1,548.82 |
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 $363.08 Median $363.08 Typical High $371.54 | Professional | 52 · Reduced service | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 53 · Discontinued | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $562.34 | Professional | 54 · Surgery only | $549.54 | $549.54 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $112.20 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $112.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $512.86 Typical High $524.81 | Professional | 78 · Unplanned return to OR | $512.86 | $512.86 | $524.81 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in Alabama. 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 $6,582AL $1,537
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.