How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,349 to $13,804Professionalmedian $1,047 · 10th to 90th $724 to $1,738
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 $1,659.59 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,659.59 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $977.24 | Professional | None | $691.83 | $851.14 | $977.24 |
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 $812.83 Median $1,174.90 Typical High $1,819.70 | Professional | None | $812.83 | $1,174.90 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,630.78 Typical High $5,754.40 | Facility | None | $831.76 | $3,630.78 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,380.38 | Professional | None | $724.44 | $933.25 | $1,380.38 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $977.24 Typical High $1,479.11 | Facility | None | $691.83 | $977.24 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,548.82 | Professional | None | $707.95 | $1,047.13 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $870.96 Median $1,621.81 Typical High $5,011.87 | Facility | None | $870.96 | $1,621.81 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,148.15 | Professional | None | $562.34 | $776.25 | $1,148.15 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $741.31 Median $977.24 Typical High $1,548.82 | Professional | None | $741.31 | $977.24 | $1,548.82 |
8 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 $346.74 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $346.74 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $602.56 Typical High $691.83 | Professional | 54 · Surgery only | $512.86 | $602.56 | $691.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $69.18 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $562.34 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $478.63 | $562.34 | $645.65 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $97.72 Median $125.89 Typical High $213.80 | Professional | 80 · Assistant surgeon | $97.72 | $125.89 | $213.80 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $109.65 Typical High $177.83 | Professional | AS · PA/NP assist | $83.18 | $109.65 | $177.83 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in New Jersey. 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· 15th of 51
$1,072
AK $2,754NJ $631
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.