How much rates vary
Facilitymedian $19,498 · 10th to 90th $3,311 to $47,863Professionalmedian $437 · 10th to 90th $309 to $708
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 $309.03 Median $309.03 Typical High $363.08 | Professional | None | $309.03 | $309.03 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $24,547.09 Typical High $61,659.50 | Facility | None | $15,848.93 | $24,547.09 | $61,659.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $512.86 Typical High $758.58 | Professional | None | $363.08 | $512.86 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $18,620.87 Typical High $28,840.32 | Facility | None | $436.52 | $18,620.87 | $28,840.32 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $549.54 | Professional | None | $316.23 | $380.19 | $549.54 |
Denver HMP Setting Facility Modifier None Typical Low $281.84 Median $398.11 Typical High $794.33 | Facility | None | $281.84 | $398.11 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $426.58 Typical High $660.69 | Professional | None | $331.13 | $426.58 | $660.69 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $22,387.21 | Facility | None | $316.23 | $630.96 | $22,387.21 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $331.13 Typical High $478.63 | Professional | None | $316.23 | $331.13 | $478.63 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $11,481.54 Typical High $33,884.42 | Facility | None | $4,570.88 | $11,481.54 | $33,884.42 |
United Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $630.96 | Professional | None | $302.00 | $398.11 | $630.96 |
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 $154.88 Median $154.88 Typical High $158.49 | Professional | 52 · Reduced service | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 54 · Surgery only | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | 78 · Unplanned return to OR | $218.78 | $218.78 | $223.87 |
Where Colorado sits
The same service costs 29.1 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 $30,626MT $1,051
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.