How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,570 to $15,136Professionalmedian $1,072 · 10th to 90th $759 to $1,698
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 $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | None | $758.58 | $758.58 | $1,071.52 |
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 $891.25 Median $1,258.93 Typical High $1,862.09 | Professional | None | $891.25 | $1,258.93 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $2,398.83 Typical High $3,090.30 | Facility | None | $812.83 | $2,398.83 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,380.38 | Professional | None | $851.14 | $1,000.00 | $1,380.38 |
Denver HMP Setting Facility Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,621.81 | Facility | None | $758.58 | $1,047.13 | $1,621.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $954.99 Typical High $1,412.54 | Professional | None | $707.95 | $954.99 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $2,754.23 | Facility | None | $707.95 | $1,513.56 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,071.52 | Professional | None | $707.95 | $794.33 | $1,071.52 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $21,877.62 | Facility | None | $4,570.88 | $10,000.00 | $21,877.62 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,659.59 | Professional | None | $831.76 | $1,047.13 | $1,659.59 |
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 $380.19 Median $380.19 Typical High $398.11 | Professional | 52 · Reduced service | $380.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $158.49 | Professional | 53 · Discontinued | $151.36 | $151.36 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $575.44 Typical High $588.84 | Professional | 54 · Surgery only | $575.44 | $575.44 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $79.43 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $549.54 |
Where Colorado sits
The same service costs 4.3 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 $9,769TX $2,271
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.