How much rates vary
Facilitymedian $10,715 · 10th to 90th $3,020 to $20,417Professionalmedian $1,514 · 10th to 90th $1,096 to $2,188
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 $1,096.48 Median $6,456.54 Typical High $20,417.38 | Facility | None | $1,096.48 | $6,456.54 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,778.28 | Professional | None | $1,096.48 | $1,096.48 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,413.10 Median $11,481.54 Typical High $21,379.62 | Facility | None | $7,413.10 | $11,481.54 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,258.93 | $1,659.59 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,454.71 Typical High $16,595.87 | Facility | None | $645.65 | $2,454.71 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,258.93 | $1,479.11 | $1,995.26 |
Denver HMP Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,513.56 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,380.38 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,949.84 Typical High $2,041.74 | Facility | None | $977.24 | $1,949.84 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,584.89 | Professional | None | $912.01 | $1,071.52 | $1,584.89 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,244.36 Typical High $23,442.29 | Facility | None | $2,511.89 | $7,244.36 | $23,442.29 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,202.26 | $1,548.82 | $2,290.87 |
4 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 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | 54 · Surgery only | $812.83 | $812.83 | $1,000.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $912.01 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $204.17 Typical High $309.03 | Professional | 80 · Assistant surgeon | $169.82 | $204.17 | $309.03 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $177.83 Typical High $257.04 | Professional | AS · PA/NP assist | $144.54 | $177.83 | $257.04 |
Where Colorado sits
The same service costs 8.7 times more in Maine than in Kentucky. 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
ME $27,149KY $3,127
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.