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 $63.10 Median $3,235.94 Typical High $8,709.64 | Facility | None | $63.10 | $3,235.94 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $52.48 Typical High $67.61 | Professional | None | $28.18 | $52.48 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $67.61 Typical High $125.89 | Professional | None | $35.48 | $67.61 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,511.89 Typical High $2,691.53 | Facility | None | $50.12 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $54.95 Typical High $91.20 | Professional | None | $32.36 | $54.95 | $91.20 |
Denver HMP Setting Facility Modifier None Typical Low $28.18 Median $60.26 Typical High $91.20 | Facility | None | $28.18 | $60.26 | $91.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $51.29 Typical High $112.20 | Professional | None | $29.51 | $51.29 | $112.20 |
Select Health Setting Facility Modifier None Typical Low $48.98 Median $69.18 Typical High $144.54 | Facility | None | $48.98 | $69.18 | $144.54 |
Select Health Setting Professional Modifier None Typical Low $16.98 Median $30.20 Typical High $69.18 | Professional | None | $16.98 | $30.20 | $69.18 |
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 $32.36 Median $61.66 Typical High $107.15 | Professional | None | $32.36 | $61.66 | $107.15 |
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 $14.13 Median $23.99 Typical High $31.62 | Professional | 52 · Reduced service | $14.13 | $23.99 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $9.55 Typical High $12.59 | Professional | 53 · Discontinued | $5.75 | $9.55 | $12.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.38 Median $36.31 Typical High $47.86 | Professional | 54 · Surgery only | $21.38 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $7.24 Typical High $9.55 | Professional | 55 · Aftercare only | $4.27 | $7.24 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $4.79 Typical High $6.31 | Professional | 56 · Pre-op care only | $2.82 | $4.79 | $6.31 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 16th of 51
$66.07
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.