How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,514 to $12,589Professionalmedian $1,413 · 10th to 90th $1,047 to $2,291
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 $1,047.13 Median $1,047.13 Typical High $1,445.44 | Professional | None | $1,047.13 | $1,047.13 | $1,445.44 |
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 $1,148.15 Median $1,659.59 Typical High $2,511.89 | Professional | None | $1,148.15 | $1,659.59 | $2,511.89 |
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 $1,047.13 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,288.25 | $1,819.70 |
Denver HMP Setting Facility Modifier None Typical Low $1,047.13 Median $1,288.25 Typical High $2,238.72 | Facility | None | $1,047.13 | $1,288.25 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Professional | None | $954.99 | $1,288.25 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $2,089.30 | Facility | None | $954.99 | $1,905.46 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,445.44 | Professional | None | $954.99 | $1,071.52 | $1,445.44 |
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 $1,023.29 Median $1,348.96 Typical High $2,137.96 | Professional | None | $1,023.29 | $1,348.96 | $2,137.96 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | 54 · Surgery only | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $724.44 |
Where Colorado sits
The same service costs 3.7 times more in Alabama 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
AL $8,874MD $2,372
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.