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 $1,479.11 Median $3,548.13 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $5,495.41 | Professional | None | $512.86 | $512.86 | $5,495.41 |
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 $933.25 Median $1,258.93 Typical High $2,187.76 | Professional | None | $933.25 | $1,258.93 | $2,187.76 |
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 $151.36 Median $831.76 Typical High $891.25 | Professional | None | $151.36 | $831.76 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $741.31 | Facility | None | $512.86 | $512.86 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Professional | None | $5,128.61 | $5,128.61 | $5,128.61 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $257.04 Median $257.04 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 54 · Surgery only | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $97.72 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $66.07 |
Where Colorado sits
The same service costs 74.1 times more in Oklahoma than in Montana. 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· 9th of 51
$2,692
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.