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 $3,548.13 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,548.13 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $1,445.44 Typical High $2,454.71 | Professional | None | $107.15 | $1,445.44 | $2,454.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $794.33 Typical High $2,818.38 | Professional | None | $70.79 | $794.33 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $4,570.88 | Facility | None | $724.44 | $2,884.03 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $269.15 Typical High $2,754.23 | Professional | None | $125.89 | $269.15 | $2,754.23 |
Denver HMP Setting Facility Modifier None Typical Low $109.65 Median $1,023.29 Typical High $2,511.89 | Facility | None | $109.65 | $1,023.29 | $2,511.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $371.54 Typical High $2,630.27 | Professional | None | $87.10 | $371.54 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $2,691.53 Typical High $3,981.07 | Facility | None | $158.49 | $2,691.53 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $1,445.44 | Professional | None | $54.95 | $97.72 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $117.49 Median $1,230.27 Typical High $3,162.28 | Professional | None | $117.49 | $1,230.27 | $3,162.28 |
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 $54.95 Median $616.60 Typical High $912.01 | Professional | 52 · Reduced service | $54.95 | $616.60 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $245.47 Typical High $363.08 | Professional | 53 · Discontinued | $21.88 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $933.25 Typical High $1,380.38 | Professional | 54 · Surgery only | $83.18 | $933.25 | $1,380.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $186.21 Typical High $275.42 | Professional | 55 · Aftercare only | $16.60 | $186.21 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $123.03 Typical High $181.97 | Professional | 56 · Pre-op care only | $10.96 | $123.03 | $181.97 |
Where Colorado sits
The same service costs 19.1 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· 17th of 51
$1,738
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.