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 $83.18 Median $3,235.94 Typical High $7,762.47 | Facility | None | $83.18 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $257.04 Typical High $426.58 | Professional | None | $51.29 | $257.04 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $263.03 Typical High $549.54 | Professional | None | $60.26 | $263.03 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $218.78 Typical High $575.44 | Professional | None | $57.54 | $218.78 | $575.44 |
Denver HMP Setting Facility Modifier None Typical Low $53.70 Median $288.40 Typical High $489.78 | Facility | None | $53.70 | $288.40 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $177.83 Typical High $501.19 | Professional | None | $51.29 | $177.83 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $257.04 Typical High $537.03 | Facility | None | $83.18 | $257.04 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $36.31 Median $70.79 Typical High $257.04 | Professional | None | $36.31 | $70.79 | $257.04 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,754.23 | Facility | None | $758.58 | $1,513.56 | $2,754.23 |
United Setting Professional Modifier None Typical Low $54.95 Median $275.42 Typical High $602.56 | Professional | None | $54.95 | $275.42 | $602.56 |
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 $26.92 Median $114.82 Typical High $162.18 | Professional | 52 · Reduced service | $26.92 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $45.71 Typical High $64.57 | Professional | 53 · Discontinued | $10.72 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $173.78 Typical High $245.47 | Professional | 54 · Surgery only | $39.81 | $173.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $34.67 Typical High $48.98 | Professional | 55 · Aftercare only | $7.94 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $22.91 Typical High $32.36 | Professional | 56 · Pre-op care only | $5.37 | $22.91 | $32.36 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $74.13 Median $389.05 Typical High $660.69 | Professional | 50 · Both sides | $74.13 | $389.05 | $660.69 |
Where Colorado sits
The same service costs 4.9 times more in Iowa than in Nebraska. 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· 23rd of 51
$269
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.