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 $40.74 Median $70.79 Typical High $104.71 | Facility | None | $40.74 | $70.79 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $102.33 | Professional | None | $40.74 | $67.61 | $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 $47.86 Median $66.07 Typical High $97.72 | Professional | None | $47.86 | $66.07 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $1,698.24 | Facility | None | $50.12 | $66.07 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $69.18 Typical High $109.65 | Professional | None | $44.67 | $69.18 | $109.65 |
Denver HMP Setting Facility Modifier None Typical Low $40.74 Median $70.79 Typical High $104.71 | Facility | None | $40.74 | $70.79 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $138.04 | Professional | None | $50.12 | $83.18 | $138.04 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $173.78 | Facility | None | $83.18 | $83.18 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $83.18 | Professional | None | $40.74 | $54.95 | $83.18 |
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 $42.66 Median $69.18 Typical High $120.23 | Professional | None | $42.66 | $69.18 | $120.23 |
4 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 $28.18 Typical High $35.48 | Professional | 52 · Reduced service | $20.42 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $11.22 Typical High $14.13 | Professional | 53 · Discontinued | $8.13 | $11.22 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.32 Typical High $10.47 | Professional | 55 · Aftercare only | $6.17 | $8.32 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.62 Typical High $7.08 | Professional | 56 · Pre-op care only | $4.07 | $5.62 | $7.08 |
Where Colorado sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 23rd of 51
$70.79
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.