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 $3,715.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $251.19 Typical High $1,479.11 | Professional | None | $144.54 | $251.19 | $1,479.11 |
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 $181.97 Median $331.13 Typical High $575.44 | Professional | None | $181.97 | $331.13 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,290.87 Typical High $3,019.95 | Facility | None | $758.58 | $2,290.87 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $257.04 Typical High $467.74 | Professional | None | $151.36 | $257.04 | $467.74 |
Denver HMP Setting Facility Modifier None Typical Low $144.54 Median $251.19 Typical High $398.11 | Facility | None | $144.54 | $251.19 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $512.86 | Professional | None | $141.25 | $281.84 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $2,630.27 | Facility | None | $251.19 | $562.34 | $2,630.27 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $245.47 Typical High $588.84 | Professional | None | $89.13 | $245.47 | $588.84 |
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 $165.96 Median $281.84 Typical High $537.03 | Professional | None | $165.96 | $281.84 | $537.03 |
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 $72.44 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $43.65 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $109.65 Median $162.18 Typical High $208.93 | Professional | 54 · Surgery only | $109.65 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $32.36 Typical High $41.69 | Professional | 55 · Aftercare only | $21.88 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $21.88 Typical High $27.54 | Professional | 56 · Pre-op care only | $14.45 | $21.88 | $27.54 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $177.83 Median $316.23 Typical High $478.63 | Professional | 50 · Both sides | $177.83 | $316.23 | $478.63 |
Where Colorado sits
The same service costs 5.8 times more in Alaska than in Hawaii. 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· 12th of 51
$389
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.