How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,445 to $13,804Professionalmedian $646 · 10th to 90th $479 to $955
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 $602.56 Median $3,235.94 Typical High $10,715.19 | Facility | None | $602.56 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $478.63 Typical High $794.33 | Professional | None | $467.74 | $478.63 | $794.33 |
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 $524.81 Median $724.44 Typical High $1,000.00 | Professional | None | $524.81 | $724.44 | $1,000.00 |
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 $549.54 Median $616.60 Typical High $851.14 | Professional | None | $549.54 | $616.60 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $1,047.13 | Facility | None | $478.63 | $588.84 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $588.84 Typical High $933.25 | Professional | None | $467.74 | $588.84 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $6,165.95 | Facility | None | $426.58 | $851.14 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $776.25 | Professional | None | $389.05 | $457.09 | $776.25 |
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 $501.19 Median $660.69 Typical High $977.24 | Professional | None | $501.19 | $660.69 | $977.24 |
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 $234.42 Median $239.88 Typical High $281.84 | Professional | 52 · Reduced service | $234.42 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $95.50 Typical High $114.82 | Professional | 53 · Discontinued | $93.33 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $426.58 | Professional | 54 · Surgery only | $354.81 | $354.81 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $47.86 Typical High $56.23 | Professional | 56 · Pre-op care only | $46.77 | $47.86 | $56.23 |
Where Colorado sits
The same service costs 5.9 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 $8,723MT $1,483
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.