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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $5,495.41 | Professional | None | $1,174.90 | $1,174.90 | $5,495.41 |
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 $85.11 Median $125.89 Typical High $186.21 | Professional | None | $85.11 | $125.89 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $2,137.96 Typical High $2,691.53 | Facility | None | $630.96 | $2,137.96 | $2,691.53 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,698.24 | Facility | None | $1,071.52 | $1,174.90 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $870.96 Typical High $2,398.83 | Professional | None | $371.54 | $870.96 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $2,754.23 Typical High $5,754.40 | Facility | None | $676.08 | $2,754.23 | $5,754.40 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $660.69 Typical High $2,951.21 | Professional | None | $234.42 | $660.69 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,244.36 | Facility | None | $1,288.25 | $2,511.89 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,621.81 | $2,089.30 | $3,235.94 |
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 $588.84 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $891.25 Median $891.25 Typical High $954.99 | Professional | 54 · Surgery only | $891.25 | $891.25 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $125.89 |
Where Colorado sits
The same service costs 109.6 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· 39th of 51
$1,445
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.