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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $245.47 Typical High $954.99 | Professional | None | $70.79 | $245.47 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $251.19 Typical High $501.19 | Professional | None | $89.13 | $251.19 | $501.19 |
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 $102.33 Median $239.88 Typical High $457.09 | Professional | None | $102.33 | $239.88 | $457.09 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $162.18 Typical High $354.81 | Facility | None | $70.79 | $162.18 | $354.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $72.44 Median $165.96 Typical High $416.87 | Professional | None | $72.44 | $165.96 | $416.87 |
Select Health Setting Facility Modifier None Typical Low $131.83 Median $245.47 Typical High $512.86 | Facility | None | $131.83 | $245.47 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $478.63 | Professional | None | $45.71 | $125.89 | $478.63 |
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 $102.33 Median $288.40 Typical High $512.86 | Professional | None | $102.33 | $288.40 | $512.86 |
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 $35.48 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $35.48 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $14.13 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $141.25 Typical High $181.97 | Professional | 54 · Surgery only | $53.70 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $28.18 Typical High $36.31 | Professional | 55 · Aftercare only | $10.72 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $18.62 Typical High $24.55 | Professional | 56 · Pre-op care only | $7.08 | $18.62 | $24.55 |
Where Colorado sits
The same service costs 4.5 times more in Oklahoma than in Nebraska. 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· 15th of 51
$269
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.