How much rates vary
Facilitymedian $8,710 · 10th to 90th $2,089 to $16,218Professionalmedian $1,096 · 10th to 90th $724 to $1,698
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 $870.96 Median $3,235.94 Typical High $10,715.19 | Facility | None | $870.96 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $1,659.59 | Professional | None | $691.83 | $741.31 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,943.28 Median $9,549.93 Typical High $17,782.79 | Facility | None | $7,943.28 | $9,549.93 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,230.27 Typical High $1,819.70 | Professional | None | $870.96 | $1,230.27 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $3,801.89 Typical High $5,623.41 | Facility | None | $933.25 | $3,801.89 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $1,023.29 Typical High $1,445.44 | Professional | None | $794.33 | $1,023.29 | $1,445.44 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,318.26 | Facility | None | $691.83 | $933.25 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $954.99 Typical High $1,412.54 | Professional | None | $660.69 | $954.99 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $1,348.96 Typical High $4,897.79 | Facility | None | $660.69 | $1,348.96 | $4,897.79 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $1,288.25 | Professional | None | $467.74 | $660.69 | $1,288.25 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $5,128.61 Typical High $13,489.63 | Facility | None | $1,949.84 | $5,128.61 | $13,489.63 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,071.52 Typical High $1,698.24 | Professional | None | $851.14 | $1,071.52 | $1,698.24 |
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 $346.74 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $346.74 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $138.04 | $138.04 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $616.60 | Professional | 54 · Surgery only | $512.86 | $512.86 | $616.60 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 56 · Pre-op care only | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $575.44 |
Where Colorado sits
The same service costs 4.5 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 $10,099MT $2,245
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.