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 $60.26 Median $3,090.30 Typical High $7,762.47 | Facility | None | $60.26 | $3,090.30 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $97.72 | Professional | None | $48.98 | $60.26 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $134.90 | Professional | None | $60.26 | $87.10 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,137.96 Typical High $2,691.53 | Facility | None | $645.65 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $109.65 | Professional | None | $60.26 | $77.62 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Facility | None | $50.12 | $60.26 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $72.44 Typical High $109.65 | Professional | None | $46.77 | $72.44 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $128.82 | Facility | None | $61.66 | $87.10 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $30.20 Median $61.66 Typical High $120.23 | Professional | None | $30.20 | $61.66 | $120.23 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $125.89 | Professional | None | $60.26 | $81.28 | $125.89 |
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 $25.12 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $25.12 | $27.54 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $12.30 | Professional | 53 · Discontinued | $10.00 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $37.15 Median $40.74 Typical High $45.71 | Professional | 54 · Surgery only | $37.15 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.94 Typical High $9.12 | Professional | 55 · Aftercare only | $7.41 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.37 Typical High $6.03 | Professional | 56 · Pre-op care only | $5.01 | $5.37 | $6.03 |
Where Colorado sits
The same service costs 4.8 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· 18th of 51
$85.11
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.