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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | None | $1,148.15 | $1,148.15 | $1,479.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,862.09 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $3,715.35 Typical High $5,754.40 | Facility | None | $724.44 | $3,715.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $2,089.30 | Professional | None | $1,288.25 | $1,513.56 | $2,089.30 |
Denver HMP Setting Facility Modifier None Typical Low $1,148.15 Median $1,584.89 Typical High $2,398.83 | Facility | None | $1,148.15 | $1,584.89 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,380.38 Typical High $2,089.30 | Professional | None | $1,023.29 | $1,380.38 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $5,011.87 | Facility | None | $1,023.29 | $2,041.74 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,548.82 | Professional | None | $1,023.29 | $1,202.26 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,584.89 Typical High $2,511.89 | Professional | None | $1,202.26 | $1,584.89 | $2,511.89 |
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 $575.44 Median $575.44 Typical High $616.60 | Professional | 52 · Reduced service | $575.44 | $575.44 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | 53 · Discontinued | $229.09 | $229.09 | $245.47 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $870.96 Median $870.96 Typical High $933.25 | Professional | 54 · Surgery only | $870.96 | $870.96 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 56 · Pre-op care only | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $812.83 | $812.83 | $870.96 |
Where Colorado sits
The same service costs 16.6 times more in Alaska than in Texas. 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
$1,905
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.