How much rates vary
Facilitymedian $4,365 · 10th to 90th $1,259 to $8,913Professionalmedian $1,000 · 10th to 90th $724 to $1,622
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 $912.01 Median $3,235.94 Typical High $10,715.19 | Facility | None | $912.01 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $977.24 | Professional | None | $724.44 | $724.44 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,174.90 Typical High $1,778.28 | Professional | None | $812.83 | $1,174.90 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,412.54 Typical High $2,691.53 | Facility | None | $691.83 | $1,412.54 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $1,288.25 | Professional | None | $741.31 | $891.25 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,698.24 | Facility | None | $724.44 | $912.01 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,348.96 | Professional | None | $676.08 | $912.01 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,348.96 Typical High $1,584.89 | Facility | None | $676.08 | $1,348.96 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,023.29 | Professional | None | $676.08 | $758.58 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $1,479.11 | Professional | None | $741.31 | $954.99 | $1,479.11 |
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 $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 53 · Discontinued | $144.54 | $144.54 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $537.03 Typical High $549.54 | Professional | 54 · Surgery only | $537.03 | $537.03 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $501.19 | $501.19 | $512.86 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in Maryland. 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 $5,643MD $1,856
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.