How much rates vary
Facilitymedian $14,454 · 10th to 90th $933 to $25,704Professionalmedian $3,715 · 10th to 90th $2,754 to $5,754
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 $2,951.21 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,951.21 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,951.21 Typical High $5,495.41 | Professional | None | $2,630.27 | $2,951.21 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,818.38 | $3,715.35 | $5,888.44 |
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 $3,019.95 Median $3,890.45 Typical High $5,128.61 | Professional | None | $3,019.95 | $3,890.45 | $5,128.61 |
Denver HMP Setting Facility Modifier None Typical Low $2,951.21 Median $3,630.78 Typical High $6,025.60 | Facility | None | $2,951.21 | $3,630.78 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,388.44 Typical High $5,128.61 | Professional | None | $2,290.87 | $3,388.44 | $5,128.61 |
Select Health Setting Facility Modifier None Typical Low $2,398.83 Median $4,897.79 Typical High $5,128.61 | Facility | None | $2,398.83 | $4,897.79 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,698.24 | $1,698.24 | $2,398.83 |
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 $3,019.95 Median $3,981.07 Typical High $6,606.93 | Professional | None | $3,019.95 | $3,981.07 | $6,606.93 |
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 $1,412.54 Median $1,479.11 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,412.54 | $1,479.11 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $588.84 Typical High $794.33 | Professional | 53 · Discontinued | $562.34 | $588.84 | $794.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,137.96 Median $2,187.76 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,137.96 | $2,187.76 | $2,951.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $426.58 Median $436.52 Typical High $588.84 | Professional | 55 · Aftercare only | $426.58 | $436.52 | $588.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $281.84 Median $295.12 Typical High $398.11 | Professional | 56 · Pre-op care only | $281.84 | $295.12 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,995.26 Median $2,041.74 Typical High $2,754.23 | Professional | 78 · Unplanned return to OR | $1,995.26 | $2,041.74 | $2,754.23 |
Where Colorado sits
The same service costs 9.8 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 $35,171MD $3,582
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.