How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,023 to $15,488Professionalmedian $3,715 · 10th to 90th $2,754 to $5,623
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 $2,754.23 Median $4,365.16 Typical High $8,912.51 | Facility | None | $2,754.23 | $4,365.16 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,754.23 Typical High $3,311.31 | Professional | None | $2,691.53 | $2,754.23 | $3,311.31 |
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 $3,090.30 Median $4,168.69 Typical High $5,888.44 | Professional | None | $3,090.30 | $4,168.69 | $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 $2,754.23 Median $3,467.37 Typical High $4,897.79 | Professional | None | $2,754.23 | $3,467.37 | $4,897.79 |
Denver HMP Setting Facility Modifier None Typical Low $2,754.23 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,754.23 | $3,548.13 | $6,165.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $5,370.32 | Professional | None | $2,691.53 | $3,467.37 | $5,370.32 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $4,897.79 Typical High $5,128.61 | Facility | None | $2,454.71 | $4,897.79 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,290.87 | $2,691.53 | $3,890.45 |
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 $2,818.38 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,818.38 | $3,467.37 | $5,495.41 |
9 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 $1,348.96 Median $1,380.38 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,348.96 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $549.54 Typical High $660.69 | Professional | 53 · Discontinued | $537.03 | $549.54 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,089.30 Typical High $2,454.71 | Professional | 54 · Surgery only | $1,995.26 | $2,089.30 | $2,454.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $416.87 Typical High $489.78 | Professional | 55 · Aftercare only | $398.11 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $275.42 Typical High $331.13 | Professional | 56 · Pre-op care only | $269.15 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,949.84 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,949.84 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,659.59 Typical High $2,754.23 | Professional | 62 · Two surgeons | $1,318.26 | $1,659.59 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $338.84 Median $426.58 Typical High $707.95 | Professional | 80 · Assistant surgeon | $338.84 | $426.58 | $707.95 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $371.54 Typical High $588.84 | Professional | AS · PA/NP assist | $295.12 | $371.54 | $588.84 |
Where Colorado sits
The same service costs 22.9 times more in Alaska than in Texas. 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.
Colorado· 17th of 51
$3,802
AK $9,120TX $398
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.