How much rates vary
Facilitymedian $14,454 · 10th to 90th $1,820 to $25,119Professionalmedian $1,585 · 10th to 90th $1,148 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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,148.15 | $1,148.15 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,862.09 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $8,709.64 Typical High $16,982.44 | Facility | None | $588.84 | $8,709.64 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,412.54 Typical High $2,041.74 | Professional | None | $1,148.15 | $1,412.54 | $2,041.74 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,445.44 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,412.54 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $14,791.08 | Facility | None | $1,047.13 | $2,137.96 | $14,791.08 |
Select Health Setting Professional Modifier None Typical Low $1,047.13 Median $1,174.90 Typical High $1,584.89 | Professional | None | $1,047.13 | $1,174.90 | $1,584.89 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $575.44 | $575.44 | $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 $870.96 | Professional | 54 · Surgery only | $851.14 | $851.14 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 55 · Aftercare only | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $794.33 Median $794.33 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $794.33 | $794.33 | $812.83 |
Where Colorado sits
The same service costs 6.9 times more in Alaska than in Hawaii. 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 $18,481HI $2,671
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.