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 $1,258.93 Median $3,548.13 Typical High $9,120.11 | Facility | None | $1,258.93 | $3,548.13 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $602.56 Typical High $933.25 | Professional | None | $154.88 | $602.56 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $537.03 Typical High $1,258.93 | Professional | None | $173.78 | $537.03 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $524.81 Typical High $1,202.26 | Professional | None | $169.82 | $524.81 | $1,202.26 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $602.56 Typical High $977.24 | Facility | None | $154.88 | $602.56 | $977.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $1,122.02 | Professional | None | $151.36 | $398.11 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $239.88 Median $588.84 Typical High $1,230.27 | Facility | None | $239.88 | $588.84 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $204.17 Typical High $588.84 | Professional | None | $104.71 | $204.17 | $588.84 |
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 $165.96 Median $549.54 Typical High $1,148.15 | Professional | None | $165.96 | $549.54 | $1,148.15 |
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 $77.62 Median $239.88 Typical High $363.08 | Professional | 52 · Reduced service | $77.62 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $95.50 Typical High $144.54 | Professional | 53 · Discontinued | $30.90 | $95.50 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $354.81 Typical High $549.54 | Professional | 54 · Surgery only | $114.82 | $354.81 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $70.79 Typical High $109.65 | Professional | 55 · Aftercare only | $23.44 | $70.79 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $47.86 Typical High $72.44 | Professional | 56 · Pre-op care only | $15.49 | $47.86 | $72.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $776.25 Typical High $1,023.29 | Professional | 50 · Both sides | $213.80 | $776.25 | $1,023.29 |
Where Colorado sits
The same service costs 3.8 times more in Wisconsin 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· 19th of 51
$589
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.