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 $1,445.44 Median $3,548.13 Typical High $9,120.11 | Facility | None | $1,445.44 | $3,548.13 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $1,412.54 Typical High $2,344.23 | Professional | None | $117.49 | $1,412.54 | $2,344.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $1,174.90 Typical High $2,754.23 | Professional | None | $141.25 | $1,174.90 | $2,754.23 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,819.70 Typical High $6,760.83 | Facility | None | $831.76 | $1,819.70 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,202.26 Typical High $2,511.89 | Professional | None | $151.36 | $1,202.26 | $2,511.89 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $363.08 Typical High $2,187.76 | Facility | None | $134.90 | $363.08 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $446.68 Typical High $2,290.87 | Professional | None | $109.65 | $446.68 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $1,737.80 Typical High $2,884.03 | Facility | None | $208.93 | $1,737.80 | $2,884.03 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $1,348.96 | Professional | None | $72.44 | $72.44 | $1,348.96 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $162.18 Median $1,348.96 Typical High $2,951.21 | Professional | None | $162.18 | $1,348.96 | $2,951.21 |
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 $67.61 Median $575.44 Typical High $851.14 | Professional | 52 · Reduced service | $67.61 | $575.44 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $229.09 Typical High $338.84 | Professional | 53 · Discontinued | $26.92 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $870.96 Typical High $1,288.25 | Professional | 54 · Surgery only | $100.00 | $870.96 | $1,288.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $173.78 Typical High $257.04 | Professional | 55 · Aftercare only | $19.95 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $114.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $13.49 | $114.82 | $169.82 |
Where Colorado sits
The same service costs 10.5 times more in Alaska 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· 6th of 51
$1,778
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.