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 $58.88 Median $112.20 Typical High $7,413.10 | Facility | None | $58.88 | $112.20 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $102.33 | Professional | None | $44.67 | $64.57 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $144.54 | Professional | None | $56.23 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $85.11 Typical High $1,659.59 | Facility | None | $48.98 | $85.11 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $109.65 | Professional | None | $53.70 | $75.86 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $44.67 Median $67.61 Typical High $104.71 | Facility | None | $44.67 | $67.61 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $117.49 | Professional | None | $47.86 | $77.62 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $147.91 | Facility | None | $60.26 | $70.79 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $51.29 Typical High $70.79 | Professional | None | $44.67 | $51.29 | $70.79 |
United Setting Facility Modifier None Typical Low $239.88 Median $724.44 Typical High $2,570.40 | Facility | None | $239.88 | $724.44 | $2,570.40 |
United Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $120.23 | Professional | None | $51.29 | $74.13 | $120.23 |
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 $22.39 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $22.39 | $30.20 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $12.02 Typical High $13.18 | Professional | 53 · Discontinued | $8.91 | $12.02 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.88 Median $44.67 Typical High $48.98 | Professional | 54 · Surgery only | $33.88 | $44.67 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.91 Typical High $9.77 | Professional | 55 · Aftercare only | $6.76 | $8.91 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $6.03 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.47 | $6.03 | $6.46 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $85.11 Typical High $173.78 | Professional | 50 · Both sides | $56.23 | $85.11 | $173.78 |
Where Colorado sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$83.18
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.