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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $302.00 Typical High $331.13 | Professional | None | $275.42 | $302.00 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $426.58 Typical High $588.84 | Professional | None | $309.03 | $426.58 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $3,801.89 | Facility | None | $776.25 | $1,380.38 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None | $478.63 | $478.63 | $478.63 |
Denver HMP Setting Facility Modifier None Typical Low $281.84 Median $302.00 Typical High $426.58 | Facility | None | $281.84 | $302.00 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $562.34 | Professional | None | $141.25 | $288.40 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $630.96 Typical High $1,479.11 | Facility | None | $223.87 | $630.96 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $338.84 Typical High $338.84 | Professional | None | $112.20 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $630.96 | Professional | None | $309.03 | $398.11 | $630.96 |
4 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 $134.90 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $134.90 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $40.74 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $27.54 | $30.20 | $30.90 |
Where Colorado sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 13th of 51
$437
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.