How much rates vary
Facilitymedian $6,310 · 10th to 90th $871 to $12,589Professionalmedian $324 · 10th to 90th $240 to $479
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 $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
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 $263.03 Median $354.81 Typical High $501.19 | Professional | None | $263.03 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,691.53 | Facility | None | $645.65 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $426.58 | Professional | None | $257.04 | $309.03 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $537.03 | Facility | None | $239.88 | $323.59 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | None | $239.88 | $302.00 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $446.68 | Facility | None | $213.80 | $426.58 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $338.84 | Professional | None | $199.53 | $234.42 | $338.84 |
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 $245.47 Median $309.03 Typical High $489.78 | Professional | None | $245.47 | $309.03 | $489.78 |
8 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 $120.23 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $120.23 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | 54 · Surgery only | $177.83 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $43.65 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $29.51 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $125.89 Median $154.88 Typical High $251.19 | Professional | 62 · Two surgeons | $125.89 | $154.88 | $251.19 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $31.62 Median $39.81 Typical High $63.10 | Professional | 80 · Assistant surgeon | $31.62 | $39.81 | $63.10 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $33.88 Typical High $52.48 | Professional | AS · PA/NP assist | $28.18 | $33.88 | $52.48 |
Where Colorado sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 23rd of 51
$339
AK $977UT $195
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.