How much rates vary
Facilitymedian $10,233 · 10th to 90th $2,630 to $17,783Professionalmedian $1,023 · 10th to 90th $776 to $1,549
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 $2,570.40 Median $5,495.41 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $1,047.13 | Professional | None | $741.31 | $776.25 | $1,047.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $18,620.87 | Facility | None | $7,585.78 | $11,481.54 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,148.15 Typical High $1,584.89 | Professional | None | $851.14 | $1,148.15 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $3,801.89 Typical High $5,754.40 | Facility | None | $954.99 | $3,801.89 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $954.99 Typical High $1,380.38 | Professional | None | $794.33 | $954.99 | $1,380.38 |
Denver HMP Setting Facility Modifier None Typical Low $776.25 Median $977.24 Typical High $1,819.70 | Facility | None | $776.25 | $977.24 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,621.81 | Professional | None | $794.33 | $1,023.29 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,445.44 Typical High $5,011.87 | Facility | None | $724.44 | $1,445.44 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,348.96 | Professional | None | $645.65 | $758.58 | $1,348.96 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,025.60 | $15,488.17 |
United Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,548.82 | Professional | None | $758.58 | $954.99 | $1,548.82 |
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 $371.54 Median $389.05 Typical High $457.09 | Professional | 52 · Reduced service | $371.54 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $181.97 | Professional | 53 · Discontinued | $147.91 | $154.88 | $181.97 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $562.34 Median $575.44 Typical High $676.08 | Professional | 54 · Surgery only | $562.34 | $575.44 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $77.62 Typical High $91.20 | Professional | 56 · Pre-op care only | $74.13 | $77.62 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $524.81 Median $537.03 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $524.81 | $537.03 | $630.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $354.81 Median $457.09 Typical High $870.96 | Professional | 62 · Two surgeons | $354.81 | $457.09 | $870.96 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $114.82 Typical High $204.17 | Professional | 80 · Assistant surgeon | $91.20 | $114.82 | $204.17 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $100.00 Typical High $177.83 | Professional | AS · PA/NP assist | $79.43 | $100.00 | $177.83 |
Where Colorado sits
The same service costs 25.1 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· 19th of 51
$1,096
AK $3,090TX $123
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.