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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $6,456.54 | Professional | None | $645.65 | $645.65 | $6,456.54 |
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 $630.96 Median $831.76 Typical High $1,288.25 | Professional | None | $630.96 | $831.76 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,290.87 Typical High $3,090.30 | Facility | None | $691.83 | $2,290.87 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $870.96 Typical High $1,174.90 | Professional | None | $707.95 | $870.96 | $1,174.90 |
Denver HMP Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,318.26 | Facility | None | $645.65 | $831.76 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,096.48 | Professional | None | $501.19 | $741.31 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $1,047.13 Typical High $2,691.53 | Facility | None | $524.81 | $1,047.13 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
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 $724.44 Median $933.25 Typical High $1,445.44 | Professional | None | $724.44 | $933.25 | $1,445.44 |
6 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 $316.23 Median $323.59 Typical High $436.52 | Professional | 52 · Reduced service | $316.23 | $323.59 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $128.82 Typical High $173.78 | Professional | 53 · Discontinued | $125.89 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $489.78 Typical High $645.65 | Professional | 54 · Surgery only | $467.74 | $489.78 | $645.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $97.72 Typical High $128.82 | Professional | 55 · Aftercare only | $93.33 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $63.10 Median $64.57 Typical High $87.10 | Professional | 56 · Pre-op care only | $63.10 | $64.57 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $436.52 Median $457.09 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $436.52 | $457.09 | $602.56 |
Where Colorado sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 3rd of 51
$2,042
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.