How much rates vary
Facilitymedian $14,454 · 10th to 90th $2,344 to $25,704Professionalmedian $1,122 · 10th to 90th $813 to $1,738
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 $5,888.44 Typical High $12,589.25 | Facility | None | $2,570.40 | $5,888.44 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $870.96 Typical High $1,737.80 | Professional | None | $776.25 | $870.96 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $44,668.36 | Facility | None | $11,481.54 | $16,982.44 | $44,668.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,778.28 | Professional | None | $851.14 | $1,122.02 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $4,786.30 | Facility | None | $645.65 | $2,290.87 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,148.15 Typical High $1,548.82 | Professional | None | $912.01 | $1,148.15 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $1,548.82 | Facility | None | $870.96 | $933.25 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $870.96 Typical High $1,288.25 | Professional | None | $588.84 | $870.96 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $1,288.25 | Facility | None | $616.60 | $1,230.27 | $1,288.25 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $616.60 | Professional | None | $436.52 | $436.52 | $616.60 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $4,265.80 Typical High $13,182.57 | Facility | None | $1,905.46 | $4,265.80 | $13,182.57 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,949.84 | Professional | None | $977.24 | $1,288.25 | $1,949.84 |
5 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 $416.87 Median $436.52 Typical High $588.84 | Professional | 52 · Reduced service | $416.87 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $173.78 Typical High $234.42 | Professional | 53 · Discontinued | $165.96 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $630.96 Median $645.65 Typical High $891.25 | Professional | 54 · Surgery only | $630.96 | $645.65 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $128.82 Typical High $177.83 | Professional | 55 · Aftercare only | $125.89 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $87.10 Typical High $117.49 | Professional | 56 · Pre-op care only | $83.18 | $87.10 | $117.49 |
Where Colorado sits
The same service costs 8.4 times more in Alabama 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
AL $15,863KY $1,884
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.