How much rates vary
Facilitymedian $5,888 · 10th to 90th $1,288 to $12,023Professionalmedian $589 · 10th to 90th $407 to $977
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 $407.38 Median $562.34 Typical High $645.65 | Professional | None | $407.38 | $562.34 | $645.65 |
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 $467.74 Median $660.69 Typical High $1,000.00 | Professional | None | $467.74 | $660.69 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $3,090.30 | Facility | None | $691.83 | $2,290.87 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $954.99 | Professional | None | $416.87 | $602.56 | $954.99 |
Denver HMP Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $891.25 | Facility | None | $407.38 | $575.44 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $1,000.00 | Professional | None | $478.63 | $676.08 | $1,000.00 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $2,754.23 | Facility | None | $588.84 | $1,096.48 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $588.84 | Professional | None | $407.38 | $512.86 | $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 $436.52 Median $630.96 Typical High $1,071.52 | Professional | None | $436.52 | $630.96 | $1,071.52 |
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 $204.17 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $204.17 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $81.28 | $104.71 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $309.03 Median $398.11 Typical High $426.58 | Professional | 54 · Surgery only | $309.03 | $398.11 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $79.43 Typical High $85.11 | Professional | 55 · Aftercare only | $61.66 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $52.48 Typical High $56.23 | Professional | 56 · Pre-op care only | $40.74 | $52.48 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $371.54 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $288.40 | $371.54 | $398.11 |
Where Colorado sits
The same service costs 5.8 times more in Alabama 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
AL $8,423MT $1,458
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.