How much rates vary
Facilitymedian $25,119 · 10th to 90th $6,166 to $89,125Professionalmedian $589 · 10th to 90th $417 to $933
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 $389.05 Median $457.09 Typical High $6,025.60 | Professional | None | $389.05 | $457.09 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $24,547.09 Typical High $109,647.82 | Facility | None | $15,848.93 | $24,547.09 | $109,647.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $933.25 | Professional | None | $446.68 | $588.84 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $33,884.42 Typical High $46,773.51 | Facility | None | $758.58 | $33,884.42 | $46,773.51 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $616.60 Typical High $812.83 | Professional | None | $467.74 | $616.60 | $812.83 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $489.78 Typical High $891.25 | Facility | None | $457.09 | $489.78 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $1,548.82 | Professional | None | $338.84 | $501.19 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $354.81 Median $707.95 Typical High $41,686.94 | Facility | None | $354.81 | $707.95 | $41,686.94 |
Select Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $354.81 | Professional | None | $245.47 | $245.47 | $354.81 |
United Setting Facility Modifier None Typical Low $11,481.54 Median $38,904.51 Typical High $114,815.36 | Facility | None | $11,481.54 | $38,904.51 | $114,815.36 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,023.29 | Professional | None | $501.19 | $660.69 | $1,023.29 |
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 $218.78 Median $229.09 Typical High $309.03 | Professional | 52 · Reduced service | $218.78 | $229.09 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $123.03 | Professional | 53 · Discontinued | $87.10 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $323.59 Median $338.84 Typical High $457.09 | Professional | 54 · Surgery only | $323.59 | $338.84 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $69.18 Typical High $91.20 | Professional | 55 · Aftercare only | $66.07 | $69.18 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $45.71 Typical High $61.66 | Professional | 56 · Pre-op care only | $43.65 | $45.71 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $302.00 Median $316.23 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $302.00 | $316.23 | $426.58 |
Where Colorado sits
The same service costs 42.9 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 $51,741MT $1,205
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.