How much rates vary
Facilitymedian $6,310 · 10th to 90th $977 to $12,589Professionalmedian $1,413 · 10th to 90th $1,072 to $2,138
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 $1,023.29 Median $1,071.52 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,071.52 | $1,380.38 |
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 $1,174.90 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,174.90 | $1,584.89 | $2,187.76 |
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 $1,071.52 Median $1,318.26 Typical High $1,905.46 | Professional | None | $1,071.52 | $1,318.26 | $1,905.46 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $2,511.89 | Facility | None | $1,071.52 | $1,348.96 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $2,187.76 | Professional | None | $1,096.48 | $1,380.38 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,995.26 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $1,047.13 Typical High $1,621.81 | Professional | None | $870.96 | $1,047.13 | $1,621.81 |
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 $1,047.13 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,047.13 | $1,318.26 | $2,089.30 |
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 $512.86 Median $537.03 Typical High $630.96 | Professional | 52 · Reduced service | $512.86 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $251.19 | Professional | 53 · Discontinued | $204.17 | $213.80 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $794.33 Typical High $933.25 | Professional | 54 · Surgery only | $758.58 | $794.33 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $151.36 | $158.49 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $125.89 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $741.31 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $707.95 | $741.31 | $870.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $524.81 Median $676.08 Typical High $1,096.48 | Professional | 62 · Two surgeons | $524.81 | $676.08 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $169.82 Typical High $275.42 | Professional | 80 · Assistant surgeon | $131.83 | $169.82 | $275.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $147.91 Typical High $245.47 | Professional | AS · PA/NP assist | $117.49 | $147.91 | $245.47 |
Where Colorado sits
The same service costs 24.5 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
$1,479
AK $4,266TX $174
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.