How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,023 to $12,589Professionalmedian $2,399 · 10th to 90th $1,820 to $3,631
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 $6,025.60 Typical High $10,715.19 | Facility | None | $2,570.40 | $6,025.60 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,698.24 | $1,819.70 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,691.53 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,691.53 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,511.89 Typical High $4,786.30 | Facility | None | $676.08 | $2,511.89 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,162.28 | Professional | None | $1,778.28 | $2,238.72 | $3,162.28 |
Denver HMP Setting Facility Modifier None Typical Low $1,819.70 Median $2,290.87 Typical High $4,168.69 | Facility | None | $1,819.70 | $2,290.87 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $3,715.35 | Professional | None | $1,819.70 | $2,344.23 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $3,311.31 Typical High $3,467.37 | Facility | None | $1,659.59 | $3,311.31 | $3,467.37 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,479.11 | $1,737.80 | $2,691.53 |
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 $1,778.28 Median $2,290.87 Typical High $3,630.78 | Professional | None | $1,778.28 | $2,290.87 | $3,630.78 |
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 $851.14 Median $912.01 Typical High $1,071.52 | Professional | 52 · Reduced service | $851.14 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $363.08 Typical High $426.58 | Professional | 53 · Discontinued | $346.74 | $363.08 | $426.58 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,288.25 Median $1,348.96 Typical High $1,584.89 | Professional | 54 · Surgery only | $1,288.25 | $1,348.96 | $1,584.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $269.15 Typical High $316.23 | Professional | 55 · Aftercare only | $257.04 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | 56 · Pre-op care only | $169.82 | $181.97 | $213.80 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,202.26 Median $1,258.93 Typical High $1,479.11 | Professional | 78 · Unplanned return to OR | $1,202.26 | $1,258.93 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $870.96 Median $1,122.02 Typical High $1,819.70 | Professional | 62 · Two surgeons | $870.96 | $1,122.02 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $281.84 Typical High $467.74 | Professional | 80 · Assistant surgeon | $223.87 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $251.19 Typical High $407.38 | Professional | AS · PA/NP assist | $194.98 | $251.19 | $407.38 |
Where Colorado sits
The same service costs 5.4 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
$2,455
AK $6,310TX $1,175
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.