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 $588.84 Median $588.84 Typical High $724.44 | Professional | None | $588.84 | $588.84 | $724.44 |
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 $660.69 Median $954.99 Typical High $1,412.54 | Professional | None | $660.69 | $954.99 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,630.27 Typical High $4,073.80 | Facility | None | $588.84 | $2,630.27 | $4,073.80 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,000.00 | Professional | None | $575.44 | $707.95 | $1,000.00 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $741.31 Typical High $1,258.93 | Facility | None | $588.84 | $741.31 | $1,258.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,096.48 | Professional | None | $549.54 | $741.31 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $1,096.48 Typical High $3,630.78 | Facility | None | $549.54 | $1,096.48 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $549.54 Median $602.56 Typical High $831.76 | Professional | None | $549.54 | $602.56 | $831.76 |
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 $562.34 Median $724.44 Typical High $1,174.90 | Professional | None | $562.34 | $724.44 | $1,174.90 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $407.38 | $407.38 | $407.38 |
Where Colorado sits
The same service costs 8.3 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· 14th of 51
$955
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.