How much rates vary
Facilitymedian $6,918 · 10th to 90th $1,445 to $14,791Professionalmedian $1,380 · 10th to 90th $955 to $2,188
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 $10,964.78 | Facility | None | $2,570.40 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $6,025.60 | Professional | None | $954.99 | $954.99 | $6,025.60 |
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 $1,071.52 Median $1,513.56 Typical High $2,238.72 | Professional | None | $1,071.52 | $1,513.56 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,715.35 Typical High $5,128.61 | Facility | None | $933.25 | $3,715.35 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $1,819.70 | Professional | None | $1,000.00 | $1,348.96 | $1,819.70 |
Denver HMP Setting Facility Modifier None Typical Low $954.99 Median $1,230.27 Typical High $2,089.30 | Facility | None | $954.99 | $1,230.27 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,778.28 | Professional | None | $831.76 | $1,174.90 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $831.76 Median $1,659.59 Typical High $4,570.88 | Facility | None | $831.76 | $1,659.59 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $831.76 Typical High $1,621.81 | Professional | None | $588.84 | $831.76 | $1,621.81 |
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 $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,380.38 | $2,137.96 |
6 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 $467.74 Median $467.74 Typical High $588.84 | Professional | 52 · Reduced service | $467.74 | $467.74 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | 53 · Discontinued | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | 54 · Surgery only | $707.95 | $707.95 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | 55 · Aftercare only | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 56 · Pre-op care only | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $660.69 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $660.69 | $660.69 | $831.76 |
Where Colorado sits
The same service costs 4.1 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 $9,881DE $2,434
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.