How much rates vary
Facilitymedian $12,023 · 10th to 90th $2,512 to $20,893Professionalmedian $1,096 · 10th to 90th $794 to $1,778
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 $776.25 Median $794.33 Typical High $1,174.90 | Professional | None | $776.25 | $794.33 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $9,332.54 | $14,791.08 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $1,905.46 | Professional | None | $912.01 | $1,288.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $7,079.46 Typical High $9,772.37 | Facility | None | $831.76 | $7,079.46 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $977.24 Typical High $1,380.38 | Professional | None | $794.33 | $977.24 | $1,380.38 |
Denver HMP Setting Facility Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,659.59 | Facility | None | $794.33 | $1,047.13 | $1,659.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,479.11 | Professional | None | $741.31 | $977.24 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $8,511.38 | Facility | None | $741.31 | $1,479.11 | $8,511.38 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $812.83 Typical High $1,096.48 | Professional | None | $741.31 | $812.83 | $1,096.48 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,413.10 Typical High $15,488.17 | Facility | None | $2,511.89 | $7,413.10 | $15,488.17 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,621.81 | Professional | None | $794.33 | $1,023.29 | $1,621.81 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 54 · Surgery only | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Where Colorado sits
The same service costs 5.9 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 $14,644MT $2,489
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.