How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,089 to $15,488Professionalmedian $1,230 · 10th to 90th $871 to $1,862
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 $891.25 Median $954.99 Typical High $6,025.60 | Professional | None | $891.25 | $954.99 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,348.96 Typical High $1,995.26 | Professional | None | $954.99 | $1,348.96 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,630.78 Typical High $5,754.40 | Facility | None | $691.83 | $3,630.78 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $1,122.02 Typical High $1,548.82 | Professional | None | $812.83 | $1,122.02 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,819.70 | Facility | None | $851.14 | $1,071.52 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,548.82 | Professional | None | $741.31 | $1,023.29 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $5,011.87 | Facility | None | $741.31 | $1,479.11 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,445.44 | Professional | None | $512.86 | $741.31 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,122.02 Typical High $1,778.28 | Professional | None | $891.25 | $1,122.02 | $1,778.28 |
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 $436.52 Median $478.63 Typical High $489.78 | Professional | 52 · Reduced service | $436.52 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $194.98 | Professional | 53 · Discontinued | $173.78 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $660.69 Median $707.95 Typical High $724.44 | Professional | 54 · Surgery only | $660.69 | $707.95 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $141.25 Typical High $144.54 | Professional | 55 · Aftercare only | $131.83 | $141.25 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $97.72 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $616.60 Median $660.69 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $616.60 | $660.69 | $676.08 |
Where Colorado sits
The same service costs 4.2 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 $10,315MT $2,461
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.