How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,445 to $13,804Professionalmedian $617 · 10th to 90th $457 to $933
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 $588.84 Median $3,548.13 Typical High $8,912.51 | Facility | None | $588.84 | $3,548.13 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $851.14 | Professional | None | $446.68 | $457.09 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $9,120.11 Typical High $16,218.10 | Facility | None | $2,137.96 | $9,120.11 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $954.99 | Professional | None | $512.86 | $691.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $5,248.07 Typical High $7,079.46 | Facility | None | $1,000.00 | $5,248.07 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $831.76 | Professional | None | $524.81 | $602.56 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $562.34 Typical High $1,023.29 | Facility | None | $457.09 | $562.34 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $562.34 Typical High $891.25 | Professional | None | $446.68 | $562.34 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $6,165.95 | Facility | None | $407.38 | $812.83 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $741.31 | Professional | None | $380.19 | $446.68 | $741.31 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,511.89 | $7,762.47 |
United Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $933.25 | Professional | None | $478.63 | $630.96 | $933.25 |
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 $223.87 Median $229.09 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $109.65 | Professional | 53 · Discontinued | $91.20 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $346.74 Typical High $407.38 | Professional | 54 · Surgery only | $338.84 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $69.18 Typical High $81.28 | Professional | 55 · Aftercare only | $67.61 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $45.71 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $45.71 | $54.95 |
Where Colorado sits
The same service costs 6.1 times more in Alaska than in Montana. 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 $8,625MT $1,416
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.