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 $1,995.26 Median $2,089.30 Typical High $6,025.60 | Professional | None | $1,995.26 | $2,089.30 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $13,182.57 Typical High $24,547.09 | Facility | None | $10,715.19 | $13,182.57 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $4,168.69 | Professional | None | $1,995.26 | $2,630.27 | $4,168.69 |
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 $1,995.26 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,754.23 | $3,715.35 |
Denver HMP Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $4,365.16 | Facility | None | $2,089.30 | $2,570.40 | $4,365.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $3,630.78 | Professional | None | $1,621.81 | $2,454.71 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $3,467.37 Typical High $3,630.78 | Facility | None | $1,737.80 | $3,467.37 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,737.80 | Professional | None | $1,202.26 | $1,202.26 | $1,737.80 |
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 $2,187.76 Median $2,951.21 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,951.21 | $4,570.88 |
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 $1,000.00 Median $1,047.13 Typical High $1,380.38 | Professional | 52 · Reduced service | $1,000.00 | $1,047.13 | $1,380.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $416.87 Typical High $549.54 | Professional | 53 · Discontinued | $398.11 | $416.87 | $549.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,548.82 Typical High $2,089.30 | Professional | 54 · Surgery only | $1,513.56 | $1,548.82 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $309.03 Typical High $416.87 | Professional | 55 · Aftercare only | $302.00 | $309.03 | $416.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $208.93 Typical High $275.42 | Professional | 56 · Pre-op care only | $199.53 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,412.54 Median $1,445.44 Typical High $1,949.84 | Professional | 78 · Unplanned return to OR | $1,412.54 | $1,445.44 | $1,949.84 |
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· 13th of 51
$3,162
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.