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 $3,090.30 Median $5,495.41 Typical High $8,912.51 | Facility | None | $3,090.30 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $5,495.41 | Professional | None | $3,388.44 | $3,801.89 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $4,786.30 Typical High $7,585.78 | Professional | None | $3,630.78 | $4,786.30 | $7,585.78 |
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 $3,890.45 Median $4,897.79 Typical High $6,760.83 | Professional | None | $3,890.45 | $4,897.79 | $6,760.83 |
Denver HMP Setting Facility Modifier None Typical Low $3,801.89 Median $4,073.80 Typical High $7,762.47 | Facility | None | $3,801.89 | $4,073.80 | $7,762.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $4,365.16 Typical High $6,606.93 | Professional | None | $2,951.21 | $4,365.16 | $6,606.93 |
Select Health Setting Facility Modifier None Typical Low $3,090.30 Median $6,309.57 Typical High $6,606.93 | Facility | None | $3,090.30 | $6,309.57 | $6,606.93 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $3,090.30 | Professional | None | $2,187.76 | $2,187.76 | $3,090.30 |
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 $4,265.80 Median $5,623.41 Typical High $8,511.38 | Professional | None | $4,265.80 | $5,623.41 | $8,511.38 |
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 $1,819.70 Median $1,905.46 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,819.70 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $724.44 Median $758.58 Typical High $1,023.29 | Professional | 53 · Discontinued | $724.44 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,754.23 Median $2,818.38 Typical High $3,801.89 | Professional | 54 · Surgery only | $2,754.23 | $2,818.38 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $562.34 Typical High $776.25 | Professional | 55 · Aftercare only | $549.54 | $562.34 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $363.08 Median $380.19 Typical High $512.86 | Professional | 56 · Pre-op care only | $363.08 | $380.19 | $512.86 |
Where Colorado sits
The same service costs 7.4 times more in Alaska than in Arkansas. 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
$5,495
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.