How much rates vary
Facilitymedian $15,136 · 10th to 90th $2,512 to $35,481Professionalmedian $575 · 10th to 90th $214 to $3,715
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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $1,905.46 Typical High $3,715.35 | Professional | None | $436.52 | $1,905.46 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,135.61 Median $22,908.68 Typical High $44,668.36 | Facility | None | $15,135.61 | $22,908.68 | $44,668.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $954.99 | Professional | None | $436.52 | $645.65 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $11,748.98 Typical High $19,498.45 | Facility | None | $436.52 | $11,748.98 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $354.81 Typical High $4,073.80 | Professional | None | $173.78 | $354.81 | $4,073.80 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $588.84 Typical High $5,370.32 | Facility | None | $234.42 | $588.84 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $1,778.28 Typical High $8,128.31 | Professional | None | $537.03 | $1,778.28 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $9,549.93 Typical High $14,454.40 | Facility | None | $891.25 | $9,549.93 | $14,454.40 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $5,128.61 | Professional | None | $446.68 | $575.44 | $5,128.61 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,244.36 Typical High $16,218.10 | Facility | None | $2,511.89 | $7,244.36 | $16,218.10 |
United Setting Professional Modifier None Typical Low $186.21 Median $436.52 Typical High $3,311.31 | Professional | None | $186.21 | $436.52 | $3,311.31 |
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 $218.78 Median $257.04 Typical High $1,862.09 | Professional | 52 · Reduced service | $218.78 | $257.04 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $102.33 Typical High $741.31 | Professional | 53 · Discontinued | $87.10 | $102.33 | $741.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $380.19 Typical High $2,818.38 | Professional | 54 · Surgery only | $331.13 | $380.19 | $2,818.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $75.86 Typical High $562.34 | Professional | 55 · Aftercare only | $66.07 | $75.86 | $562.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $43.65 Median $51.29 Typical High $371.54 | Professional | 56 · Pre-op care only | $43.65 | $51.29 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $309.03 Median $354.81 Typical High $2,630.27 | Professional | 78 · Unplanned return to OR | $309.03 | $354.81 | $2,630.27 |
Where Colorado sits
The same service costs 18.4 times more in Alabama 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
AL $30,876MT $1,679
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.