How much rates vary
Facilitymedian $6,761 · 10th to 90th $759 to $13,804Professionalmedian $562 · 10th to 90th $398 to $851
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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $1,148.15 | Professional | None | $346.74 | $426.58 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $912.01 | Professional | None | $407.38 | $602.56 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $4,897.79 Typical High $9,549.93 | Facility | None | $436.52 | $4,897.79 | $9,549.93 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $724.44 | Professional | None | $398.11 | $524.81 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $346.74 Median $489.78 Typical High $812.83 | Facility | None | $346.74 | $489.78 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $776.25 | Professional | None | $331.13 | $501.19 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $436.52 Median $812.83 Typical High $8,317.64 | Facility | None | $436.52 | $812.83 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $851.14 | Professional | None | $208.93 | $436.52 | $851.14 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $416.87 Median $562.34 Typical High $851.14 | Professional | None | $416.87 | $562.34 | $851.14 |
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 $169.82 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $169.82 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $69.18 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $316.23 Typical High $346.74 | Professional | 54 · Surgery only | $257.04 | $316.23 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $64.57 Typical High $70.79 | Professional | 55 · Aftercare only | $51.29 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $42.66 Typical High $46.77 | Professional | 56 · Pre-op care only | $34.67 | $42.66 | $46.77 |
Where Colorado sits
The same service costs 9.3 times more in Wyoming than in Delaware. 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
WY $10,585DE $1,135
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.