How much rates vary
Facilitymedian $8,511 · 10th to 90th $2,570 to $15,488Professionalmedian $1,549 · 10th to 90th $1,072 to $2,455
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 $2,691.53 Median $5,495.41 Typical High $12,882.50 | Facility | None | $2,691.53 | $5,495.41 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $5,128.61 | Professional | None | $1,047.13 | $1,071.52 | $5,128.61 |
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 $1,230.27 Median $1,698.24 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,698.24 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $4,168.69 Typical High $5,754.40 | Facility | None | $1,318.26 | $4,168.69 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,096.48 | $1,513.56 | $2,041.74 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $1,819.70 | Facility | None | $1,071.52 | $1,348.96 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,318.26 Typical High $1,949.84 | Professional | None | $912.01 | $1,318.26 | $1,949.84 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $5,011.87 | Facility | None | $912.01 | $1,819.70 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,778.28 | Professional | None | $645.65 | $912.01 | $1,778.28 |
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 $1,174.90 Median $1,479.11 Typical High $2,344.23 | Professional | None | $1,174.90 | $1,479.11 | $2,344.23 |
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 $512.86 Median $537.03 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $213.80 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $794.33 Typical High $870.96 | Professional | 54 · Surgery only | $776.25 | $794.33 | $870.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $154.88 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $107.15 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $107.15 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $741.31 Typical High $812.83 | Professional | 78 · Unplanned return to OR | $724.44 | $741.31 | $812.83 |
Where Colorado sits
The same service costs 3.6 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 $11,248MT $3,134
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.