How much rates vary
Facilitymedian $15,136 · 10th to 90th $3,162 to $25,704Professionalmedian $832 · 10th to 90th $575 to $1,349
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 $12,589.25 | Facility | None | $2,570.40 | $5,495.41 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $6,025.60 | Professional | None | $549.54 | $549.54 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,348.96 | Professional | None | $660.69 | $933.25 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $7,762.47 Typical High $14,125.38 | Facility | None | $758.58 | $7,762.47 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,096.48 | Professional | None | $602.56 | $812.83 | $1,096.48 |
Denver HMP Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,258.93 | Facility | None | $489.78 | $691.83 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $724.44 Typical High $1,122.02 | Professional | None | $501.19 | $724.44 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $12,302.69 | Facility | None | $501.19 | $1,023.29 | $12,302.69 |
Select Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $977.24 | Professional | None | $354.81 | $501.19 | $977.24 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $22,387.21 | Facility | None | $4,570.88 | $10,000.00 | $22,387.21 |
United Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,318.26 | Professional | None | $645.65 | $831.76 | $1,318.26 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | 53 · Discontinued | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $407.38 Typical High $501.19 | Professional | 54 · Surgery only | $407.38 | $407.38 | $501.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $67.61 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $67.61 |
Where Colorado sits
The same service costs 9.8 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 $17,480MT $1,783
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.