How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,512 to $15,488Professionalmedian $871 · 10th to 90th $692 to $1,514
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 $2,454.71 Median $3,981.07 Typical High $10,964.78 | Facility | None | $2,454.71 | $3,981.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $812.83 Typical High $1,047.13 | Professional | None | $630.96 | $812.83 | $1,047.13 |
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 $741.31 Median $977.24 Typical High $1,659.59 | Professional | None | $741.31 | $977.24 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $4,786.30 Typical High $7,585.78 | Facility | None | $812.83 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $831.76 Typical High $1,148.15 | Professional | None | $676.08 | $831.76 | $1,148.15 |
Denver HMP Setting Facility Modifier None Typical Low $724.44 Median $812.83 Typical High $1,479.11 | Facility | None | $724.44 | $812.83 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,202.26 | Professional | None | $602.56 | $776.25 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,202.26 Typical High $6,606.93 | Facility | None | $602.56 | $1,202.26 | $6,606.93 |
Select Health Setting Professional Modifier None Typical Low $416.87 Median $676.08 Typical High $870.96 | Professional | None | $416.87 | $676.08 | $870.96 |
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 $707.95 Median $933.25 Typical High $1,380.38 | Professional | None | $707.95 | $933.25 | $1,380.38 |
5 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 $338.84 Median $407.38 Typical High $407.38 | Professional | 52 · Reduced service | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $134.90 Median $162.18 Typical High $162.18 | Professional | 53 · Discontinued | $134.90 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | 54 · Surgery only | $512.86 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | 55 · Aftercare only | $102.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | 56 · Pre-op care only | $67.61 | $81.28 | $81.28 |
Where Colorado sits
The same service costs 5.9 times more in Alaska 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
AK $12,304MT $2,095
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.