How much rates vary
Facilitymedian $7,079 · 10th to 90th $2,630 to $13,183Professionalmedian $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 $2,187.76 Median $5,495.41 Typical High $10,964.78 | Facility | None | $2,187.76 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,122.02 | $1,122.02 | $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 $1,318.26 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,862.09 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $6,760.83 Typical High $9,332.54 | Facility | None | $758.58 | $6,760.83 | $9,332.54 |
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 $2,089.30 | Professional | None | $1,047.13 | $1,380.38 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,187.76 Typical High $8,317.64 | Facility | None | $1,047.13 | $2,187.76 | $8,317.64 |
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 $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 $1,122.02 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 5.1 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 $14,343KY $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.