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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $524.81 Typical High $724.44 | Professional | None | $302.00 | $524.81 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,071.52 | Professional | None | $512.86 | $724.44 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $3,715.35 Typical High $5,754.40 | Facility | None | $758.58 | $3,715.35 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $588.84 Typical High $831.76 | Professional | None | $302.00 | $588.84 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $954.99 | Facility | None | $338.84 | $524.81 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $812.83 | Professional | None | $380.19 | $537.03 | $812.83 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $758.58 Typical High $5,011.87 | Facility | None | $380.19 | $758.58 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $741.31 | Professional | None | $263.03 | $380.19 | $741.31 |
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 $295.12 Median $562.34 Typical High $1,000.00 | Professional | None | $295.12 | $562.34 | $1,000.00 |
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 $245.47 Median $263.03 Typical High $269.15 | Professional | 52 · Reduced service | $245.47 | $263.03 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $104.71 Typical High $109.65 | Professional | 53 · Discontinued | $97.72 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $398.11 Typical High $407.38 | Professional | 54 · Surgery only | $371.54 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $79.43 Typical High $81.28 | Professional | 55 · Aftercare only | $74.13 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $52.48 Typical High $53.70 | Professional | 56 · Pre-op care only | $48.98 | $52.48 | $53.70 |
Where Colorado sits
The same service costs 5.2 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· 8th of 51
$891
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.