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 $2,884.03 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,884.03 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $2,884.03 Typical High $5,495.41 | Professional | None | $2,754.23 | $2,884.03 | $5,495.41 |
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 $2,511.89 Median $3,311.31 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,311.31 | $5,128.61 |
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 $2,691.53 Median $3,311.31 Typical High $4,265.80 | Professional | None | $2,691.53 | $3,311.31 | $4,265.80 |
Denver HMP Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $6,760.83 | Facility | None | $2,884.03 | $2,884.03 | $6,760.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,162.28 Median $4,677.35 Typical High $6,918.31 | Professional | None | $3,162.28 | $4,677.35 | $6,918.31 |
Select Health Setting Facility Modifier None Typical Low $3,311.31 Median $6,606.93 Typical High $6,918.31 | Facility | None | $3,311.31 | $6,606.93 | $6,918.31 |
Select Health Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,311.31 | Professional | None | $2,344.23 | $2,344.23 | $3,311.31 |
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 $2,137.96 Median $2,691.53 Typical High $4,897.79 | Professional | None | $2,137.96 | $2,691.53 | $4,897.79 |
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 $1,380.38 Median $1,445.44 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,380.38 | $1,445.44 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $588.84 Typical High $645.65 | Professional | 53 · Discontinued | $549.54 | $588.84 | $645.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $2,041.74 Median $2,187.76 Typical High $2,398.83 | Professional | 54 · Surgery only | $2,041.74 | $2,187.76 | $2,398.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $436.52 Typical High $478.63 | Professional | 55 · Aftercare only | $407.38 | $436.52 | $478.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $288.40 Typical High $323.59 | Professional | 56 · Pre-op care only | $275.42 | $288.40 | $323.59 |
Where Colorado sits
The same service costs 5.6 times more in Alaska than in South Carolina. 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· 10th 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.