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 $457.09 Median $3,090.30 Typical High $8,912.51 | Facility | None | $457.09 | $3,090.30 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $1,047.13 Typical High $1,737.80 | Professional | None | $309.03 | $1,047.13 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $933.25 Typical High $1,318.26 | Professional | None | $269.15 | $933.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $2,511.89 Typical High $6,760.83 | Facility | None | $1,621.81 | $2,511.89 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $660.69 Typical High $1,995.26 | Professional | None | $398.11 | $660.69 | $1,995.26 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $1,000.00 Typical High $2,344.23 | Facility | None | $309.03 | $1,000.00 | $2,344.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $660.69 Typical High $1,737.80 | Professional | None | $257.04 | $660.69 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $1,905.46 Typical High $2,691.53 | Facility | None | $489.78 | $1,905.46 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $1,023.29 | Professional | None | $169.82 | $169.82 | $1,023.29 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $407.38 Median $1,202.26 Typical High $2,344.23 | Professional | None | $407.38 | $1,202.26 | $2,344.23 |
3 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 54 · Surgery only Typical Low $234.42 Median $676.08 Typical High $933.25 | Professional | 54 · Surgery only | $234.42 | $676.08 | $933.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $134.90 Typical High $186.21 | Professional | 55 · Aftercare only | $46.77 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $91.20 Typical High $125.89 | Professional | 56 · Pre-op care only | $30.90 | $91.20 | $125.89 |
Where Colorado sits
The same service costs 4.8 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· 10th of 51
$1,585
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.