How much rates vary
Facilitymedian $14,791 · 10th to 90th $2,570 to $25,704Professionalmedian $851 · 10th to 90th $617 to $1,380
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 $1,995.26 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,995.26 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $933.25 | Professional | None | $616.60 | $616.60 | $933.25 |
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 $707.95 Median $1,000.00 Typical High $1,479.11 | Professional | None | $707.95 | $1,000.00 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $9,332.54 Typical High $18,197.01 | Facility | None | $831.76 | $9,332.54 | $18,197.01 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,071.52 | Professional | None | $645.65 | $758.58 | $1,071.52 |
Denver HMP Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,348.96 | Facility | None | $616.60 | $794.33 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,174.90 | Professional | None | $588.84 | $776.25 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $15,848.93 | Facility | None | $588.84 | $1,174.90 | $15,848.93 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $870.96 | Professional | None | $588.84 | $645.65 | $870.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $15,488.17 | Facility | None | $2,511.89 | $7,079.46 | $15,488.17 |
United Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,258.93 | Professional | None | $630.96 | $812.83 | $1,258.93 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 54 · Surgery only | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 56 · Pre-op care only | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $436.52 | $436.52 | $436.52 |
Where Colorado sits
The same service costs 10.1 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 $19,890MT $1,977
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.