How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,585 to $12,589Professionalmedian $1,778 · 10th to 90th $1,230 to $2,818
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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,659.59 | Professional | None | $1,230.27 | $1,230.27 | $1,659.59 |
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 $1,445.44 Median $2,041.74 Typical High $3,090.30 | Professional | None | $1,445.44 | $2,041.74 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $6,760.83 | Facility | None | $1,230.27 | $1,995.26 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,584.89 | $2,238.72 |
Denver HMP Setting Facility Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,630.27 | Facility | None | $1,230.27 | $1,621.81 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,548.82 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,548.82 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $2,089.30 Typical High $2,454.71 | Facility | None | $1,148.15 | $2,089.30 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,148.15 | $1,288.25 | $1,737.80 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,511.89 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,318.26 | $1,698.24 | $2,630.27 |
2 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 54 · Surgery only Typical Low $933.25 Median $933.25 Typical High $954.99 | Professional | 54 · Surgery only | $933.25 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $870.96 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $870.96 | $870.96 | $891.25 |
Where Colorado sits
The same service costs 3.4 times more in Alaska than in Maryland. 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 $8,759MD $2,608
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.