How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,000 to $15,488Professionalmedian $3,802 · 10th to 90th $2,884 to $5,888
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 $2,884.03 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,884.03 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $3,388.44 | Professional | None | $2,691.53 | $2,884.03 | $3,388.44 |
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 $3,162.28 Median $4,265.80 Typical High $6,025.60 | Professional | None | $3,162.28 | $4,265.80 | $6,025.60 |
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 $2,951.21 Median $3,388.44 Typical High $5,011.87 | Professional | None | $2,951.21 | $3,388.44 | $5,011.87 |
Denver HMP Setting Facility Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $6,760.83 | Facility | None | $2,630.27 | $3,630.78 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $3,715.35 Typical High $5,888.44 | Professional | None | $2,951.21 | $3,715.35 | $5,888.44 |
Select Health Setting Facility Modifier None Typical Low $2,691.53 Median $5,370.32 Typical High $5,623.41 | Facility | None | $2,691.53 | $5,370.32 | $5,623.41 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $2,818.38 Typical High $4,265.80 | Professional | None | $2,398.83 | $2,818.38 | $4,265.80 |
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 $2,884.03 Median $3,467.37 Typical High $5,623.41 | Professional | None | $2,884.03 | $3,467.37 | $5,623.41 |
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 $1,380.38 Median $1,445.44 Typical High $1,659.59 | Professional | 52 · Reduced service | $1,380.38 | $1,445.44 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $575.44 Typical High $676.08 | Professional | 53 · Discontinued | $549.54 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,187.76 Typical High $2,511.89 | Professional | 54 · Surgery only | $2,041.74 | $2,187.76 | $2,511.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $436.52 Typical High $501.19 | Professional | 55 · Aftercare only | $407.38 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $331.13 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $331.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,905.46 Median $2,041.74 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,905.46 | $2,041.74 | $2,344.23 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,412.54 Median $1,737.80 Typical High $2,951.21 | Professional | 62 · Two surgeons | $1,412.54 | $1,737.80 | $2,951.21 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $446.68 Typical High $741.31 | Professional | 80 · Assistant surgeon | $354.81 | $446.68 | $741.31 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $389.05 Typical High $660.69 | Professional | AS · PA/NP assist | $309.03 | $389.05 | $660.69 |
Where Colorado sits
The same service costs 21.4 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
$3,890
AK $9,772TX $457
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.