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 $2,754.23 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,754.23 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $6,025.60 | Professional | None | $2,630.27 | $2,754.23 | $6,025.60 |
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 $2,570.40 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,570.40 | $3,467.37 | $5,495.41 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,137.96 | $3,548.13 | $4,786.30 |
Denver HMP Setting Facility Modifier None Typical Low $2,454.71 Median $2,754.23 Typical High $5,623.41 | Facility | None | $2,454.71 | $2,754.23 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,137.96 Median $3,162.28 Typical High $4,677.35 | Professional | None | $2,137.96 | $3,162.28 | $4,677.35 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $4,466.84 Typical High $4,677.35 | Facility | None | $2,238.72 | $4,466.84 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,238.72 | Professional | None | $1,548.82 | $1,548.82 | $2,238.72 |
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 $2,290.87 Median $3,548.13 Typical High $6,165.95 | Professional | None | $2,290.87 | $3,548.13 | $6,165.95 |
6 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 $1,318.26 Median $1,380.38 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,318.26 | $1,380.38 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $524.81 Median $549.54 Typical High $724.44 | Professional | 53 · Discontinued | $524.81 | $549.54 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,995.26 Median $2,041.74 Typical High $2,754.23 | Professional | 54 · Surgery only | $1,995.26 | $2,041.74 | $2,754.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $407.38 Typical High $549.54 | Professional | 55 · Aftercare only | $398.11 | $407.38 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $275.42 Typical High $363.08 | Professional | 56 · Pre-op care only | $263.03 | $275.42 | $363.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,862.09 Median $1,905.46 Typical High $2,570.40 | Professional | 78 · Unplanned return to OR | $1,862.09 | $1,905.46 | $2,570.40 |
Where Colorado sits
The same service costs 6.3 times more in Alaska than in Texas. 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· 11th of 51
$4,074
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.