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 $181.97 Median $3,311.31 Typical High $8,709.64 | Facility | None | $181.97 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $177.83 | Professional | None | $100.00 | $138.04 | $177.83 |
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 $114.82 Median $162.18 Typical High $239.88 | Professional | None | $114.82 | $162.18 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $120.23 Typical High $218.78 | Facility | None | $52.48 | $120.23 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $229.09 | Professional | None | $104.71 | $147.91 | $229.09 |
Denver HMP Setting Facility Modifier None Typical Low $100.00 Median $141.25 Typical High $218.78 | Facility | None | $100.00 | $141.25 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $169.82 Typical High $257.04 | Professional | None | $112.20 | $169.82 | $257.04 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $323.59 | Facility | None | $147.91 | $158.49 | $323.59 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $120.23 Typical High $154.88 | Professional | None | $97.72 | $120.23 | $154.88 |
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 $109.65 Median $151.36 Typical High $263.03 | Professional | None | $109.65 | $151.36 | $263.03 |
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 $50.12 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $50.12 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $25.70 | $28.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.50 Typical High $20.89 | Professional | 55 · Aftercare only | $15.14 | $19.50 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $12.88 Typical High $14.13 | Professional | 56 · Pre-op care only | $10.00 | $12.88 | $14.13 |
Where Colorado sits
The same service costs 3.7 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· 21st of 51
$162
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.