How much rates vary
Facilitymedian $4,169 · 10th to 90th $646 to $8,511Professionalmedian $550 · 10th to 90th $372 to $871
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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $5,495.41 | Professional | None | $371.54 | $371.54 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $870.96 | Professional | None | $416.87 | $588.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,137.96 Typical High $4,168.69 | Facility | None | $436.52 | $2,137.96 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $707.95 | Professional | None | $416.87 | $537.03 | $707.95 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $478.63 Typical High $812.83 | Facility | None | $331.13 | $478.63 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $457.09 Typical High $676.08 | Professional | None | $323.59 | $457.09 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $3,630.78 | Facility | None | $323.59 | $645.65 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $630.96 | Professional | None | $229.09 | $323.59 | $630.96 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $2,884.03 | Facility | None | $489.78 | $1,122.02 | $2,884.03 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $851.14 | Professional | None | $426.58 | $549.54 | $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 $186.21 Median $186.21 Typical High $234.42 | Professional | 52 · Reduced service | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $281.84 Median $281.84 Typical High $354.81 | Professional | 54 · Surgery only | $281.84 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $47.86 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $47.86 |
Where Colorado sits
The same service costs 5.2 times more in Alaska 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
AK $4,868DE $935
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.