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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $363.08 Typical High $467.74 | Professional | None | $158.49 | $363.08 | $467.74 |
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 $194.98 Median $446.68 Typical High $851.14 | Professional | None | $194.98 | $446.68 | $851.14 |
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 $186.21 Median $371.54 Typical High $645.65 | Professional | None | $186.21 | $371.54 | $645.65 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $426.58 Typical High $602.56 | Facility | None | $158.49 | $426.58 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $389.05 Typical High $831.76 | Professional | None | $177.83 | $389.05 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $912.01 Typical High $1,479.11 | Facility | None | $288.40 | $912.01 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $489.78 | Professional | None | $131.83 | $186.21 | $489.78 |
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 $186.21 Median $371.54 Typical High $676.08 | Professional | None | $186.21 | $371.54 | $676.08 |
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 $79.43 Median $162.18 Typical High $218.78 | Professional | 52 · Reduced service | $79.43 | $162.18 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $64.57 Typical High $89.13 | Professional | 53 · Discontinued | $31.62 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $120.23 Median $245.47 Typical High $331.13 | Professional | 54 · Surgery only | $120.23 | $245.47 | $331.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $48.98 Typical High $67.61 | Professional | 55 · Aftercare only | $23.99 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.85 Median $32.36 Typical High $44.67 | Professional | 56 · Pre-op care only | $15.85 | $32.36 | $44.67 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 16th of 51
$427
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.