How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,692 to $16,218Professionalmedian $1,995 · 10th to 90th $1,318 to $3,020
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,348.96 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $5,754.40 Typical High $16,218.10 | Facility | None | $4,365.16 | $5,754.40 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,584.89 | $2,238.72 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,691.53 | Facility | None | $630.96 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,122.02 | $1,949.84 | $2,691.53 |
Denver HMP Setting Facility Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,311.31 | Facility | None | $1,348.96 | $1,698.24 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,862.09 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $2,754.23 | Facility | None | $1,318.26 | $2,454.71 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,570.40 | Professional | None | $912.01 | $1,318.26 | $2,570.40 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,025.60 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,025.60 | $15,488.17 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,949.84 Typical High $3,162.28 | Professional | None | $977.24 | $1,949.84 | $3,162.28 |
1 more rate 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 78 · Unplanned return to OR Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | 78 · Unplanned return to OR | $933.25 | $933.25 | $1,122.02 |
Where Colorado sits
The same service costs 5.7 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 $13,752KY $2,420
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.