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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $794.33 | Professional | None | $575.44 | $575.44 | $794.33 |
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 $933.25 Typical High $1,380.38 | Professional | None | $660.69 | $933.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $4,466.84 Typical High $7,079.46 | Facility | None | $691.83 | $4,466.84 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $1,000.00 | Professional | None | $588.84 | $691.83 | $1,000.00 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,230.27 | Facility | None | $575.44 | $758.58 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $549.54 Median $724.44 Typical High $1,096.48 | Professional | None | $549.54 | $724.44 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $1,096.48 Typical High $6,165.95 | Facility | None | $549.54 | $1,096.48 | $6,165.95 |
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 $1,148.15 | Professional | None | $562.34 | $724.44 | $1,148.15 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 52 · Reduced service | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 53 · Discontinued | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $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 $57.54 Median $57.54 Typical High $57.54 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $398.11 | $407.38 | $407.38 |
Where Colorado sits
The same service costs 7.6 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· 14th of 51
$933
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.