How much rates vary
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 $1,862.09 Median $5,888.44 Typical High $13,489.63 | Facility | None | $1,862.09 | $5,888.44 | $13,489.63 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $8,912.51 | Professional | None | $467.74 | $467.74 | $8,912.51 |
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 $575.44 Median $758.58 Typical High $1,174.90 | Professional | None | $575.44 | $758.58 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $3,090.30 Typical High $6,760.83 | Facility | None | $831.76 | $3,090.30 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Denver HMP Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $954.99 | Facility | None | $467.74 | $467.74 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $851.14 | Professional | None | $407.38 | $602.56 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $851.14 Typical High $3,467.37 | Facility | None | $426.58 | $851.14 | $3,467.37 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | None | $302.00 | $302.00 | $426.58 |
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 $660.69 Median $851.14 Typical High $1,318.26 | Professional | None | $660.69 | $851.14 | $1,318.26 |
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 $234.42 Median $234.42 Typical High $288.40 | Professional | 52 · Reduced service | $234.42 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $114.82 | Professional | 53 · Discontinued | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | 54 · Surgery only | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $57.54 |
Where Colorado sits
The same service costs 10.2 times more in Texas than in New York. 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.
Colorado· 4th of 51
$2,884
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.