How much rates vary
Facilitymedian $2,630 · 10th to 90th $692 to $5,370Professionalmedian $759 · 10th to 90th $138 to $2,344
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 $1,258.93 Median $3,235.94 Typical High $9,120.11 | Facility | None | $1,258.93 | $3,235.94 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $870.96 Typical High $1,412.54 | Professional | None | $117.49 | $870.96 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $794.33 Typical High $2,630.27 | Professional | None | $144.54 | $794.33 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $5,248.07 | Facility | None | $758.58 | $1,202.26 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $380.19 Typical High $1,862.09 | Professional | None | $144.54 | $380.19 | $1,862.09 |
Denver HMP Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $2,137.96 | Facility | None | $117.49 | $363.08 | $2,137.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $616.60 Typical High $2,187.76 | Professional | None | $131.83 | $616.60 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $1,230.27 Typical High $2,691.53 | Facility | None | $208.93 | $1,230.27 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $138.04 Typical High $1,288.25 | Professional | None | $97.72 | $138.04 | $1,288.25 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $2,951.21 | Facility | None | $489.78 | $1,174.90 | $2,951.21 |
United Setting Professional Modifier None Typical Low $138.04 Median $831.76 Typical High $1,905.46 | Professional | None | $138.04 | $831.76 | $1,905.46 |
5 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 $58.88 Median $371.54 Typical High $630.96 | Professional | 52 · Reduced service | $58.88 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $147.91 Typical High $251.19 | Professional | 53 · Discontinued | $23.44 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $562.34 Typical High $933.25 | Professional | 54 · Surgery only | $89.13 | $562.34 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $112.20 Typical High $186.21 | Professional | 55 · Aftercare only | $17.78 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $74.13 Typical High $125.89 | Professional | 56 · Pre-op care only | $11.75 | $74.13 | $125.89 |
Where Colorado sits
The same service costs 5.5 times more in Hawaii than in Maryland. 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
HI $4,440MD $808
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.