How much rates vary
Facilitymedian $6,457 · 10th to 90th $1,000 to $12,589Professionalmedian $3,236 · 10th to 90th $2,455 to $4,898
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 $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $3,235.94 | Professional | None | $2,344.23 | $2,454.71 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,244.36 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,691.53 | $3,630.78 | $5,128.61 |
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 $2,454.71 Median $3,090.30 Typical High $4,265.80 | Professional | None | $2,454.71 | $3,090.30 | $4,265.80 |
Denver HMP Setting Facility Modifier None Typical Low $2,238.72 Median $3,090.30 Typical High $5,623.41 | Facility | None | $2,238.72 | $3,090.30 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $3,162.28 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,162.28 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $4,466.84 Typical High $4,786.30 | Facility | None | $2,238.72 | $4,466.84 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $3,630.78 | Professional | None | $2,041.74 | $2,398.83 | $3,630.78 |
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 $2,454.71 Median $3,090.30 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,090.30 | $5,011.87 |
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 $1,202.26 Median $1,230.27 Typical High $1,479.11 | Professional | 52 · Reduced service | $1,202.26 | $1,230.27 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $489.78 Typical High $588.84 | Professional | 53 · Discontinued | $478.63 | $489.78 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,778.28 Median $1,862.09 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,778.28 | $1,862.09 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $371.54 Typical High $436.52 | Professional | 55 · Aftercare only | $354.81 | $371.54 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $245.47 Typical High $295.12 | Professional | 56 · Pre-op care only | $239.88 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,737.80 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,737.80 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,202.26 Median $1,548.82 Typical High $2,511.89 | Professional | 62 · Two surgeons | $1,202.26 | $1,548.82 | $2,511.89 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $389.05 Typical High $630.96 | Professional | 80 · Assistant surgeon | $302.00 | $389.05 | $630.96 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $263.03 Median $338.84 Typical High $549.54 | Professional | AS · PA/NP assist | $263.03 | $338.84 | $549.54 |
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
$3,311
AK $8,318TX $389
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.