How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,479 to $8,913Professionalmedian $1,738 · 10th to 90th $1,148 to $2,754
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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $3,235.94 | Professional | None | $1,071.52 | $1,071.52 | $3,235.94 |
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 $1,380.38 Median $1,949.84 Typical High $2,884.03 | Professional | None | $1,380.38 | $1,949.84 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,818.38 Typical High $4,365.16 | Facility | None | $758.58 | $2,818.38 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,230.27 | $1,621.81 | $2,290.87 |
Denver HMP Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,380.38 | $2,089.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,047.13 Median $1,479.11 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,479.11 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $3,801.89 | Facility | None | $1,047.13 | $2,089.30 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $2,041.74 | Professional | None | $724.44 | $1,047.13 | $2,041.74 |
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 $1,288.25 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,288.25 | $1,698.24 | $2,691.53 |
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 $537.03 Median $537.03 Typical High $645.65 | Professional | 52 · Reduced service | $537.03 | $537.03 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $218.78 Typical High $263.03 | Professional | 53 · Discontinued | $218.78 | $218.78 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $812.83 Median $812.83 Typical High $977.24 | Professional | 54 · Surgery only | $812.83 | $812.83 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 55 · Aftercare only | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $128.82 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $758.58 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $758.58 | $912.01 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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 $10,675KY $2,405
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.