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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,398.83 Typical High $6,025.60 | Professional | None | $2,290.87 | $2,398.83 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $5,754.40 | Professional | None | $2,454.71 | $3,311.31 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,630.27 Typical High $3,715.35 | Facility | None | $691.83 | $2,630.27 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,238.72 | $2,818.38 | $3,715.35 |
Denver HMP Setting Facility Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $3,467.37 | Facility | None | $2,398.83 | $2,951.21 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | None | $12,589.25 | $12,589.25 | $12,589.25 |
Select Health Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,235.94 | Facility | None | $3,019.95 | $3,019.95 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $4,786.30 | Professional | None | $2,511.89 | $2,951.21 | $4,786.30 |
6 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 $1,122.02 Median $1,202.26 Typical High $1,230.27 | Professional | 52 · Reduced service | $1,122.02 | $1,202.26 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $478.63 Typical High $489.78 | Professional | 53 · Discontinued | $446.68 | $478.63 | $489.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,819.70 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,659.59 | $1,819.70 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $363.08 Typical High $371.54 | Professional | 55 · Aftercare only | $331.13 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $223.87 Median $239.88 Typical High $245.47 | Professional | 56 · Pre-op care only | $223.87 | $239.88 | $245.47 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $2,454.71 Typical High $4,897.79 | Professional | 50 · Both sides | $1,318.26 | $2,454.71 | $4,897.79 |
Where Colorado sits
The same service costs 7.1 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· 13th of 51
$3,548
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.