How much rates vary
Facilitymedian $14,454 · 10th to 90th $3,090 to $25,704Professionalmedian $4,074 · 10th to 90th $479 to $9,550
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 $602.56 Median $5,248.07 Typical High $11,220.18 | Facility | None | $602.56 | $5,248.07 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $4,677.35 Typical High $7,762.47 | Professional | None | $467.74 | $4,677.35 | $7,762.47 |
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 $501.19 Median $4,073.80 Typical High $9,772.37 | Professional | None | $501.19 | $4,073.80 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $7,244.36 Typical High $12,882.50 | Facility | None | $758.58 | $7,244.36 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $1,258.93 Typical High $8,128.31 | Professional | None | $562.34 | $1,258.93 | $8,128.31 |
Denver HMP Setting Facility Modifier None Typical Low $478.63 Median $1,288.25 Typical High $7,585.78 | Facility | None | $478.63 | $1,288.25 | $7,585.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $1,621.81 Typical High $8,128.31 | Professional | None | $389.05 | $1,621.81 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $8,511.38 Typical High $11,481.54 | Facility | None | $741.31 | $8,511.38 | $11,481.54 |
Select Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $4,677.35 | Professional | None | $257.04 | $257.04 | $4,677.35 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $22,387.21 | Facility | None | $4,570.88 | $10,000.00 | $22,387.21 |
United Setting Professional Modifier None Typical Low $616.60 Median $4,365.16 Typical High $9,549.93 | Professional | None | $616.60 | $4,365.16 | $9,549.93 |
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 $239.88 Median $2,041.74 Typical High $2,691.53 | Professional | 52 · Reduced service | $239.88 | $2,041.74 | $2,691.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $812.83 Typical High $1,071.52 | Professional | 53 · Discontinued | $95.50 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $3,090.30 Typical High $3,981.07 | Professional | 54 · Surgery only | $354.81 | $3,090.30 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $616.60 Typical High $812.83 | Professional | 55 · Aftercare only | $70.79 | $616.60 | $812.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $407.38 Typical High $537.03 | Professional | 56 · Pre-op care only | $47.86 | $407.38 | $537.03 |
Where Colorado sits
The same service costs 4.3 times more in Alabama than in Maine. 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 $20,420ME $4,758
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.