How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,514 to $14,791Professionalmedian $1,585 · 10th to 90th $1,175 to $2,512
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 $1,202.26 Median $1,258.93 Typical High $6,025.60 | Professional | None | $1,202.26 | $1,258.93 | $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 $1,258.93 Median $1,778.28 Typical High $2,630.27 | Professional | None | $1,258.93 | $1,778.28 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,715.35 Typical High $5,754.40 | Facility | None | $831.76 | $3,715.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,089.30 | Professional | None | $1,122.02 | $1,584.89 | $2,089.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $2,290.87 | Facility | None | $1,258.93 | $1,479.11 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,949.84 | Professional | None | $912.01 | $1,318.26 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $5,011.87 | Facility | None | $912.01 | $1,862.09 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,778.28 | Professional | None | $645.65 | $912.01 | $1,778.28 |
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 $1,230.27 Median $1,548.82 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,548.82 | $2,454.71 |
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 $588.84 Median $630.96 Typical High $645.65 | Professional | 52 · Reduced service | $588.84 | $630.96 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $239.88 Median $251.19 Typical High $263.03 | Professional | 53 · Discontinued | $239.88 | $251.19 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $891.25 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $190.55 Typical High $194.98 | Professional | 55 · Aftercare only | $177.83 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $125.89 Typical High $128.82 | Professional | 56 · Pre-op care only | $117.49 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $891.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $831.76 | $891.25 | $912.01 |
Where Colorado sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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 $11,283KY $2,440
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.