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 $24.55 Median $32.36 Typical High $44.67 | Professional | None | $24.55 | $32.36 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $72.44 | Professional | None | $29.51 | $41.69 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $2,290.87 Typical High $2,691.53 | Facility | None | $575.44 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $48.98 | Professional | None | $28.84 | $38.02 | $48.98 |
Denver HMP Setting Facility Modifier None Typical Low $24.55 Median $33.11 Typical High $54.95 | Facility | None | $24.55 | $33.11 | $54.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $57.54 | Professional | None | $22.91 | $37.15 | $57.54 |
Select Health Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $72.44 | Facility | None | $34.67 | $43.65 | $72.44 |
Select Health Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $34.67 | Professional | None | $15.49 | $26.92 | $34.67 |
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 $28.18 Median $38.90 Typical High $63.10 | Professional | None | $28.18 | $38.90 | $63.10 |
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 $12.30 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $12.30 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $4.90 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.62 Median $21.38 Typical High $25.12 | Professional | 54 · Surgery only | $18.62 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.72 Median $4.27 Typical High $5.01 | Professional | 55 · Aftercare only | $3.72 | $4.27 | $5.01 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.88 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.45 | $2.88 | $3.31 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in New Jersey. 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· 19th of 51
$40.74
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.