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 $1,995.26 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 $467.74 Median $512.86 Typical High $7,244.36 | Professional | None | $467.74 | $512.86 | $7,244.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $20,892.96 Typical High $63,095.73 | Facility | None | $15,848.93 | $20,892.96 | $63,095.73 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,122.02 | Professional | None | $537.03 | $707.95 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $19,952.62 Typical High $36,307.81 | Facility | None | $758.58 | $19,952.62 | $36,307.81 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Denver HMP Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $724.44 | Facility | None | $512.86 | $537.03 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $891.25 | Professional | None | $426.58 | $630.96 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $31,622.78 | Facility | None | $457.09 | $912.01 | $31,622.78 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $457.09 | Professional | None | $316.23 | $316.23 | $457.09 |
United Setting Facility Modifier None Typical Low $11,220.18 Median $28,840.32 Typical High $52,480.75 | Facility | None | $11,220.18 | $28,840.32 | $52,480.75 |
United 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 |
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 $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $93.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | 54 · Surgery only | $354.81 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | 55 · Aftercare only | $70.79 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $51.29 Typical High $51.29 | Professional | 56 · Pre-op care only | $46.77 | $51.29 | $51.29 |
Where Colorado sits
The same service costs 29.5 times more in Louisiana than in Maine. 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
$7,586
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.