How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,000 to $15,488Professionalmedian $4,786 · 10th to 90th $3,548 to $7,079
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 $3,090.30 Median $5,495.41 Typical High $8,912.51 | Facility | None | $3,090.30 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $3,467.37 Median $3,548.13 Typical High $4,365.16 | Professional | None | $3,467.37 | $3,548.13 | $4,365.16 |
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 $3,890.45 Median $5,248.07 Typical High $7,413.10 | Professional | None | $3,890.45 | $5,248.07 | $7,413.10 |
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 $3,467.37 Median $4,570.88 Typical High $6,309.57 | Professional | None | $3,467.37 | $4,570.88 | $6,309.57 |
Denver HMP Setting Facility Modifier None Typical Low $3,162.28 Median $4,466.84 Typical High $8,317.64 | Facility | None | $3,162.28 | $4,466.84 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,630.78 Median $4,570.88 Typical High $7,244.36 | Professional | None | $3,630.78 | $4,570.88 | $7,244.36 |
Select Health Setting Facility Modifier None Typical Low $3,311.31 Median $6,606.93 Typical High $6,918.31 | Facility | None | $3,311.31 | $6,606.93 | $6,918.31 |
Select Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,884.03 | $3,388.44 | $5,248.07 |
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 $3,548.13 Median $4,570.88 Typical High $7,244.36 | Professional | None | $3,548.13 | $4,570.88 | $7,244.36 |
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 $1,778.28 Median $1,778.28 Typical High $2,187.76 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | 53 · Discontinued | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,630.27 Median $2,630.27 Typical High $3,311.31 | Professional | 54 · Surgery only | $2,630.27 | $2,630.27 | $3,311.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | 55 · Aftercare only | $524.81 | $524.81 | $660.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,454.71 Median $2,454.71 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,454.71 | $2,454.71 | $3,090.30 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $2,187.76 Typical High $3,630.78 | Professional | 62 · Two surgeons | $1,584.89 | $2,187.76 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $562.34 Typical High $933.25 | Professional | 80 · Assistant surgeon | $416.87 | $562.34 | $933.25 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $489.78 Typical High $812.83 | Professional | AS · PA/NP assist | $354.81 | $489.78 | $812.83 |
Where Colorado sits
The same service costs 21.9 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· 20th of 51
$4,786
AK $12,303TX $562
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.