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 $63.10 Median $3,235.94 Typical High $7,762.47 | Facility | None | $63.10 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $63.10 Typical High $93.33 | Professional | None | $40.74 | $63.10 | $93.33 |
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 $50.12 Median $83.18 Typical High $144.54 | Professional | None | $50.12 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $93.33 Typical High $1,659.59 | Facility | None | $53.70 | $93.33 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $104.71 | Professional | None | $45.71 | $64.57 | $104.71 |
Denver HMP Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $93.33 | Facility | None | $40.74 | $66.07 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $120.23 | Professional | None | $44.67 | $74.13 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $66.07 Median $70.79 Typical High $147.91 | Facility | None | $66.07 | $70.79 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $70.79 | Professional | None | $40.74 | $47.86 | $70.79 |
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 $45.71 Median $67.61 Typical High $117.49 | Professional | None | $45.71 | $67.61 | $117.49 |
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 $20.42 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $20.42 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.48 Typical High $13.18 | Professional | 53 · Discontinued | $8.13 | $11.48 | $13.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $43.65 Typical High $48.98 | Professional | 54 · Surgery only | $30.90 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.71 Typical High $10.00 | Professional | 55 · Aftercare only | $6.17 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.75 Typical High $6.61 | Professional | 56 · Pre-op care only | $4.07 | $5.75 | $6.61 |
Where Colorado sits
The same service costs 3.5 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· 15th of 51
$79.43
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.