How much rates vary
Facilitymedian $4,571 · 10th to 90th $1,445 to $8,913Professionalmedian $871 · 10th to 90th $676 to $1,585
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 $1,995.26 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,995.26 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,380.38 | Professional | None | $691.83 | $831.76 | $1,380.38 |
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 $758.58 Median $1,000.00 Typical High $1,737.80 | Professional | None | $758.58 | $1,000.00 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $3,311.31 | Facility | None | $831.76 | $1,819.70 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,174.90 | Professional | None | $616.60 | $812.83 | $1,174.90 |
Denver HMP Setting Facility Modifier None Typical Low $741.31 Median $851.14 Typical High $1,548.82 | Facility | None | $741.31 | $851.14 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,230.27 | Professional | None | $616.60 | $812.83 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $2,089.30 | Facility | None | $616.60 | $1,230.27 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $891.25 | Professional | None | $436.52 | $691.83 | $891.25 |
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 $630.96 Median $870.96 Typical High $1,412.54 | Professional | None | $630.96 | $870.96 | $1,412.54 |
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 $346.74 Median $416.87 Typical High $416.87 | Professional | 52 · Reduced service | $346.74 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | 53 · Discontinued | $141.25 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $524.81 Median $630.96 Typical High $630.96 | Professional | 54 · Surgery only | $524.81 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $104.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $83.18 Typical High $83.18 | Professional | 56 · Pre-op care only | $69.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $489.78 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $489.78 | $588.84 | $588.84 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Alabama. 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 $6,054AL $1,518
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.