How much rates vary
Facilitymedian $11,482 · 10th to 90th $933 to $20,417Professionalmedian $1,995 · 10th to 90th $1,445 to $3,090
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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,380.38 | $1,548.82 | $2,290.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $13,182.57 Typical High $24,547.09 | Facility | None | $10,715.19 | $13,182.57 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,513.56 | $1,995.26 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $2,754.23 | Professional | None | $1,584.89 | $2,041.74 | $2,754.23 |
Denver HMP Setting Facility Modifier None Typical Low $1,548.82 Median $1,905.46 Typical High $3,311.31 | Facility | None | $1,548.82 | $1,905.46 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,258.93 | $1,862.09 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,630.27 Typical High $2,754.23 | Facility | None | $1,318.26 | $2,630.27 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,318.26 | Professional | None | $912.01 | $912.01 | $1,318.26 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $3,467.37 | Professional | None | $1,584.89 | $2,137.96 | $3,467.37 |
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 $758.58 Median $776.25 Typical High $1,047.13 | Professional | 52 · Reduced service | $758.58 | $776.25 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $416.87 | Professional | 53 · Discontinued | $302.00 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $1,174.90 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,122.02 | $1,174.90 | $1,548.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $234.42 Typical High $309.03 | Professional | 55 · Aftercare only | $223.87 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $154.88 Typical High $208.93 | Professional | 56 · Pre-op care only | $151.36 | $154.88 | $208.93 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,047.13 Median $1,096.48 Typical High $1,445.44 | Professional | 78 · Unplanned return to OR | $1,047.13 | $1,096.48 | $1,445.44 |
Where Colorado sits
The same service costs 8.9 times more in Alabama than in Maryland. 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 $18,845MD $2,111
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.