How much rates vary
Facilitymedian $6,166 · 10th to 90th $2,188 to $12,589Professionalmedian $1,862 · 10th to 90th $1,380 to $3,467
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 $2,570.40 Median $5,495.41 Typical High $10,964.78 | Facility | None | $2,570.40 | $5,495.41 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Professional | None | $1,479.11 | $1,778.28 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,659.59 Median $2,187.76 Typical High $3,715.35 | Professional | None | $1,659.59 | $2,187.76 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $2,454.71 Typical High $3,801.89 | Facility | None | $933.25 | $2,454.71 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,258.93 | $1,659.59 | $2,454.71 |
Denver HMP Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,778.28 | $3,311.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,348.96 | $1,737.80 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,691.53 Typical High $2,884.03 | Facility | None | $1,348.96 | $2,691.53 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,949.84 | Professional | None | $933.25 | $1,479.11 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $3,019.95 | Professional | None | $1,288.25 | $1,778.28 | $3,019.95 |
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 $741.31 Median $891.25 Typical High $891.25 | Professional | 52 · Reduced service | $741.31 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $354.81 Typical High $354.81 | Professional | 53 · Discontinued | $295.12 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,096.48 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $1,096.48 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $269.15 Typical High $269.15 | Professional | 55 · Aftercare only | $223.87 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | 56 · Pre-op care only | $147.91 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,023.29 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $1,023.29 | $1,258.93 | $1,258.93 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Delaware. 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 $10,952DE $3,164
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.