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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $630.96 | Professional | None | $97.72 | $151.36 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $138.04 Typical High $194.98 | Professional | None | $87.10 | $138.04 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,691.53 | Facility | None | $645.65 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $234.42 | Professional | None | $114.82 | $162.18 | $234.42 |
Denver HMP Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $269.15 | Facility | None | $97.72 | $158.49 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $144.54 Typical High $251.19 | Professional | None | $81.28 | $144.54 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $302.00 | Facility | None | $144.54 | $154.88 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $144.54 | Professional | None | $54.95 | $54.95 | $144.54 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $331.13 | Professional | None | $123.03 | $190.55 | $331.13 |
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 $48.98 Median $69.18 Typical High $83.18 | Professional | 52 · Reduced service | $48.98 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $27.54 Typical High $33.11 | Professional | 53 · Discontinued | $19.50 | $27.54 | $33.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $104.71 Typical High $125.89 | Professional | 54 · Surgery only | $74.13 | $104.71 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $14.79 | $20.89 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $13.80 Typical High $16.60 | Professional | 56 · Pre-op care only | $9.77 | $13.80 | $16.60 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 34th of 51
$158
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.