How much rates vary
Facilitymedian $19,498 · 10th to 90th $6,026 to $43,652Professionalmedian $5,012 · 10th to 90th $575 to $11,482
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 $2,691.53 Median $6,025.60 Typical High $14,454.40 | Facility | None | $2,691.53 | $6,025.60 | $14,454.40 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $6,025.60 Typical High $8,912.51 | Professional | None | $524.81 | $6,025.60 | $8,912.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $50,118.72 | Facility | None | $15,848.93 | $20,892.96 | $50,118.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $4,897.79 Typical High $11,481.54 | Professional | None | $602.56 | $4,897.79 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $16,982.44 Typical High $23,442.29 | Facility | None | $758.58 | $16,982.44 | $23,442.29 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $1,174.90 Typical High $10,471.29 | Professional | None | $630.96 | $1,174.90 | $10,471.29 |
Denver HMP Setting Facility Modifier None Typical Low $562.34 Median $1,548.82 Typical High $10,232.93 | Facility | None | $562.34 | $1,548.82 | $10,232.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $1,905.46 Typical High $10,715.19 | Professional | None | $467.74 | $1,905.46 | $10,715.19 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $11,481.54 Typical High $20,417.38 | Facility | None | $891.25 | $11,481.54 | $20,417.38 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $6,309.57 | Professional | None | $309.03 | $309.03 | $6,309.57 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $17,782.79 Typical High $42,657.95 | Facility | None | $7,413.10 | $17,782.79 | $42,657.95 |
United Setting Professional Modifier None Typical Low $691.83 Median $6,165.95 Typical High $12,302.69 | Professional | None | $691.83 | $6,165.95 | $12,302.69 |
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 $281.84 Median $2,398.83 Typical High $3,548.13 | Professional | 52 · Reduced service | $281.84 | $2,398.83 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $954.99 Typical High $1,445.44 | Professional | 53 · Discontinued | $114.82 | $954.99 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $3,548.13 Typical High $5,370.32 | Professional | 54 · Surgery only | $426.58 | $3,548.13 | $5,370.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $724.44 Typical High $1,071.52 | Professional | 55 · Aftercare only | $85.11 | $724.44 | $1,071.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $478.63 Typical High $707.95 | Professional | 56 · Pre-op care only | $56.23 | $478.63 | $707.95 |
Where Colorado sits
The same service costs 6.1 times more in Alaska than in Vermont. 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 $33,081VT $5,424
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.