How much rates vary
Facilitymedian $14,791 · 10th to 90th $2,512 to $25,704Professionalmedian $1,259 · 10th to 90th $912 to $1,995
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 $1,659.59 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,659.59 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $1,698.24 | Professional | None | $891.25 | $912.01 | $1,698.24 |
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 $1,023.29 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,479.11 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $8,709.64 Typical High $16,982.44 | Facility | None | $831.76 | $8,709.64 | $16,982.44 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,584.89 | Professional | None | $912.01 | $1,122.02 | $1,584.89 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,905.46 | Facility | None | $912.01 | $1,174.90 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $1,698.24 | Professional | None | $831.76 | $1,122.02 | $1,698.24 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $1,698.24 Typical High $14,791.08 | Facility | None | $831.76 | $1,698.24 | $14,791.08 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $933.25 Typical High $1,258.93 | Professional | None | $831.76 | $933.25 | $1,258.93 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,025.60 Typical High $15,848.93 | Facility | None | $2,511.89 | $6,025.60 | $15,848.93 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,819.70 | Professional | None | $891.25 | $1,174.90 | $1,819.70 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | 52 · Reduced service | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 53 · Discontinued | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $630.96 | $630.96 | $630.96 |
Where Colorado sits
The same service costs 6.8 times more in Alaska than in Montana. 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 $19,480MT $2,858
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.