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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $147.91 | Professional | None | $107.15 | $123.03 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $218.78 | Professional | None | $117.49 | $154.88 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $512.86 Typical High $2,691.53 | Facility | None | $309.03 | $512.86 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $186.21 | Professional | None | $107.15 | $128.82 | $186.21 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $223.87 | Facility | None | $112.20 | $131.83 | $223.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $194.98 | Professional | None | $102.33 | $125.89 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $177.83 Typical High $407.38 | Facility | None | $89.13 | $177.83 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $104.71 Typical High $165.96 | Professional | None | $89.13 | $104.71 | $165.96 |
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 $102.33 Median $134.90 Typical High $213.80 | Professional | None | $102.33 | $134.90 | $213.80 |
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 $53.70 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $53.70 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $21.38 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 54 · Surgery only | $79.43 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $18.62 Typical High $20.89 | Professional | 55 · Aftercare only | $15.85 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $12.30 Typical High $13.80 | Professional | 56 · Pre-op care only | $10.72 | $12.30 | $13.80 |
Where Colorado sits
The same service costs 4.8 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· 21st of 51
$151
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.