How much rates vary
Facilitymedian $6,761 · 10th to 90th $1,349 to $13,804Professionalmedian $589 · 10th to 90th $389 to $912
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 $616.60 Median $3,548.13 Typical High $10,715.19 | Facility | None | $616.60 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $1,862.09 | Professional | None | $389.05 | $478.63 | $1,862.09 |
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 $446.68 Median $630.96 Typical High $933.25 | Professional | None | $446.68 | $630.96 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,311.31 Typical High $5,128.61 | Facility | None | $691.83 | $3,311.31 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $776.25 | Professional | None | $457.09 | $588.84 | $776.25 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $562.34 Typical High $870.96 | Facility | None | $389.05 | $562.34 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $489.78 Typical High $724.44 | Professional | None | $346.74 | $489.78 | $724.44 |
Select Health Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $4,570.88 | Facility | None | $346.74 | $691.83 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $676.08 | Professional | None | $239.88 | $346.74 | $676.08 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $891.25 | Professional | None | $467.74 | $645.65 | $891.25 |
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 $194.98 Median $194.98 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | 54 · Surgery only | $295.12 | $295.12 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 56 · Pre-op care only | $38.90 | $38.90 | $50.12 |
Where Colorado sits
The same service costs 6.4 times more in Alaska than in Montana. 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 $7,574MT $1,191
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.