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 $407.38 Median $436.52 Typical High $2,570.40 | Professional | None | $407.38 | $436.52 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $18,620.87 | Facility | None | $7,585.78 | $11,481.54 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $575.44 Typical High $831.76 | Professional | None | $398.11 | $575.44 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $4,786.30 | Facility | None | $645.65 | $2,290.87 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $676.08 | Professional | None | $398.11 | $512.86 | $676.08 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $436.52 Typical High $870.96 | Facility | None | $389.05 | $436.52 | $870.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $933.25 | Professional | None | $446.68 | $630.96 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $933.25 | Facility | None | $446.68 | $891.25 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $870.96 | Professional | None | $309.03 | $446.68 | $870.96 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $371.54 Median $478.63 Typical High $741.31 | Professional | None | $371.54 | $478.63 | $741.31 |
3 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 54 · Surgery only Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | 54 · Surgery only | $302.00 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 55 · Aftercare only | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $40.74 Median $43.65 Typical High $43.65 | Professional | 56 · Pre-op care only | $40.74 | $43.65 | $43.65 |
Where Colorado sits
The same service costs 9.8 times more in Indiana than in Hawaii. 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· 9th of 51
$708
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.