How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,288 to $12,589Professionalmedian $550 · 10th to 90th $372 to $891
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 $1,479.11 Median $3,715.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $676.08 | Professional | None | $371.54 | $524.81 | $676.08 |
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 $426.58 Median $588.84 Typical High $891.25 | Professional | None | $426.58 | $588.84 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,466.84 Typical High $7,079.46 | Facility | None | $691.83 | $4,466.84 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $549.54 Typical High $912.01 | Professional | None | $389.05 | $549.54 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $851.14 | Facility | None | $371.54 | $549.54 | $851.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $645.65 Typical High $977.24 | Professional | None | $426.58 | $645.65 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $6,165.95 | Facility | None | $588.84 | $1,071.52 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $588.84 | Professional | None | $371.54 | $467.74 | $588.84 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $389.05 Median $588.84 Typical High $1,023.29 | Professional | None | $389.05 | $588.84 | $1,023.29 |
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 $186.21 Median $251.19 Typical High $275.42 | Professional | 52 · Reduced service | $186.21 | $251.19 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $100.00 Typical High $112.20 | Professional | 53 · Discontinued | $74.13 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $380.19 Typical High $416.87 | Professional | 54 · Surgery only | $281.84 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $75.86 Typical High $83.18 | Professional | 55 · Aftercare only | $56.23 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $50.12 Typical High $54.95 | Professional | 56 · Pre-op care only | $37.15 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $354.81 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $263.03 | $354.81 | $389.05 |
Where Colorado sits
The same service costs 6.4 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 $8,723MT $1,361
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.