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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None | $134.90 | $134.90 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $5,248.07 Typical High $8,912.51 | Facility | None | $2,137.96 | $5,248.07 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $295.12 | Professional | None | $154.88 | $208.93 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,258.93 Typical High $1,698.24 | Facility | None | $436.52 | $1,258.93 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $316.23 | Professional | None | $158.49 | $223.87 | $316.23 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $194.98 Typical High $331.13 | Facility | None | $134.90 | $194.98 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $269.15 | Professional | None | $141.25 | $169.82 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $245.47 Typical High $1,479.11 | Facility | None | $123.03 | $245.47 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $223.87 | Professional | None | $112.20 | $131.83 | $223.87 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $316.23 | Professional | None | $151.36 | $208.93 | $316.23 |
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 $67.61 Median $67.61 Typical High $93.33 | Professional | 52 · Reduced service | $67.61 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | 53 · Discontinued | $26.92 | $26.92 | $37.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | 54 · Surgery only | $102.33 | $102.33 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | 56 · Pre-op care only | $13.49 | $13.49 | $18.62 |
Where Colorado sits
The same service costs 5.4 times more in Alaska than in Utah. 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
$219
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.