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 $1,258.93 Median $3,548.13 Typical High $9,120.11 | Facility | None | $1,258.93 | $3,548.13 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $239.88 Typical High $1,258.93 | Professional | None | $151.36 | $239.88 | $1,258.93 |
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 $165.96 Median $269.15 Typical High $467.74 | Professional | None | $165.96 | $269.15 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,187.76 Typical High $3,235.94 | Facility | None | $588.84 | $2,187.76 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $371.54 | Professional | None | $154.88 | $229.09 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $151.36 Median $257.04 Typical High $371.54 | Facility | None | $151.36 | $257.04 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $389.05 | Professional | None | $125.89 | $223.87 | $389.05 |
Select Health Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $2,818.38 | Facility | None | $223.87 | $416.87 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $79.43 Median $223.87 Typical High $436.52 | Professional | None | $79.43 | $223.87 | $436.52 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $426.58 | Professional | None | $154.88 | $251.19 | $426.58 |
5 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 $75.86 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $75.86 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $158.49 Typical High $194.98 | Professional | 54 · Surgery only | $114.82 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $31.62 Typical High $38.90 | Professional | 55 · Aftercare only | $22.91 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $20.89 Typical High $25.70 | Professional | 56 · Pre-op care only | $15.14 | $20.89 | $25.70 |
Where Colorado sits
The same service costs 3.7 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· 12th of 51
$309
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.