How much rates vary
Facilitymedian $8,511 · 10th to 90th $1,995 to $15,488Professionalmedian $1,380 · 10th to 90th $977 to $2,239
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 $3,630.78 Typical High $9,120.11 | Facility | None | $1,348.96 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,584.89 | Professional | None | $977.24 | $977.24 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,621.81 Typical High $2,454.71 | Professional | None | $1,122.02 | $1,621.81 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $4,073.80 Typical High $7,943.28 | Facility | None | $588.84 | $4,073.80 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,258.93 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $870.96 Median $1,230.27 Typical High $2,238.72 | Facility | None | $870.96 | $1,230.27 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,819.70 | Professional | None | $891.25 | $1,202.26 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $1,778.28 Typical High $6,918.31 | Facility | None | $891.25 | $1,778.28 | $6,918.31 |
Select Health Setting Professional Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,348.96 | Professional | None | $891.25 | $1,023.29 | $1,348.96 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,318.26 Typical High $2,089.30 | Professional | None | $1,000.00 | $1,318.26 | $2,089.30 |
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 $489.78 Median $489.78 Typical High $512.86 | Professional | 52 · Reduced service | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $758.58 | Professional | 54 · Surgery only | $724.44 | $724.44 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $707.95 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $707.95 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Hawaii. 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 $10,992HI $2,489
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.