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 $1,258.93 Median $4,168.69 Typical High $10,964.78 | Facility | None | $1,258.93 | $4,168.69 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $269.15 Typical High $3,630.78 | Professional | None | $123.03 | $269.15 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $9,120.11 | Facility | None | $2,290.87 | $3,548.13 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $257.04 Typical High $478.63 | Professional | None | $131.83 | $257.04 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $977.24 Typical High $2,187.76 | Facility | None | $588.84 | $977.24 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $218.78 Typical High $416.87 | Professional | None | $134.90 | $218.78 | $416.87 |
Denver HMP Setting Facility Modifier None Typical Low $123.03 Median $239.88 Typical High $389.05 | Facility | None | $123.03 | $239.88 | $389.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $204.17 Typical High $457.09 | Professional | None | $100.00 | $204.17 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $190.55 Median $489.78 Typical High $1,071.52 | Facility | None | $190.55 | $489.78 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $269.15 | Professional | None | $67.61 | $67.61 | $269.15 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,174.90 Typical High $3,388.44 | Facility | None | $489.78 | $1,174.90 | $3,388.44 |
United Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $489.78 | Professional | None | $131.83 | $229.09 | $489.78 |
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 $61.66 Median $112.20 Typical High $141.25 | Professional | 52 · Reduced service | $61.66 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $45.71 Typical High $56.23 | Professional | 53 · Discontinued | $24.55 | $45.71 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $169.82 Typical High $208.93 | Professional | 54 · Surgery only | $93.33 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $18.62 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $22.39 Typical High $28.18 | Professional | 56 · Pre-op care only | $12.30 | $22.39 | $28.18 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 11th of 51
$389
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.