How much rates vary
Facilitymedian $21,380 · 10th to 90th $3,388 to $50,119Professionalmedian $794 · 10th to 90th $537 to $1,259
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 $812.83 Median $3,388.44 Typical High $9,120.11 | Facility | None | $812.83 | $3,388.44 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $3,019.95 | Professional | None | $524.81 | $524.81 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $24,547.09 Typical High $54,954.09 | Facility | None | $15,848.93 | $24,547.09 | $54,954.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,288.25 | Professional | None | $616.60 | $870.96 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $38,904.51 Typical High $50,118.72 | Facility | None | $588.84 | $38,904.51 | $50,118.72 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,023.29 | Professional | None | $537.03 | $776.25 | $1,023.29 |
Denver HMP Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $1,412.54 | Facility | None | $524.81 | $676.08 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,174.90 | Professional | None | $562.34 | $776.25 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $1,122.02 Typical High $46,773.51 | Facility | None | $562.34 | $1,122.02 | $46,773.51 |
Select Health Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,096.48 | Professional | None | $389.05 | $562.34 | $1,096.48 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $22,387.21 Typical High $60,255.96 | Facility | None | $7,413.10 | $22,387.21 | $60,255.96 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,174.90 | Professional | None | $616.60 | $794.33 | $1,174.90 |
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 $263.03 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $123.03 | Professional | 53 · Discontinued | $104.71 | $104.71 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | 54 · Surgery only | $389.05 | $389.05 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $363.08 Typical High $426.58 | Professional | 78 · Unplanned return to OR | $363.08 | $363.08 | $426.58 |
Where Colorado sits
The same service costs 24.6 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 $43,875MT $1,787
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.