How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,188 to $15,488Professionalmedian $2,042 · 10th to 90th $1,413 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 $2,187.76 Median $3,981.07 Typical High $10,964.78 | Facility | None | $2,187.76 | $3,981.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,513.56 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,479.11 | $2,187.76 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,801.89 Typical High $5,754.40 | Facility | None | $933.25 | $3,801.89 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,380.38 | $1,862.09 | $2,630.27 |
Denver HMP Setting Facility Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,630.27 | Facility | None | $1,230.27 | $1,737.80 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $2,691.53 | Professional | None | $1,148.15 | $1,778.28 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $5,011.87 | Facility | None | $1,513.56 | $2,818.38 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $741.31 Median $1,513.56 Typical High $2,951.21 | Professional | None | $741.31 | $1,513.56 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $3,090.30 | Professional | None | $1,445.44 | $1,949.84 | $3,090.30 |
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 $616.60 Median $758.58 Typical High $831.76 | Professional | 52 · Reduced service | $616.60 | $758.58 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $302.00 Typical High $331.13 | Professional | 53 · Discontinued | $245.47 | $302.00 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $912.01 Median $1,122.02 Typical High $1,230.27 | Professional | 54 · Surgery only | $912.01 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $229.09 Typical High $245.47 | Professional | 55 · Aftercare only | $186.21 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $151.36 Typical High $165.96 | Professional | 56 · Pre-op care only | $123.03 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $1,047.13 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $851.14 | $1,047.13 | $1,148.15 |
Where Colorado sits
The same service costs 3.2 times more in Alaska 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
AK $12,311KY $3,892
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.