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 $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None | $354.81 | $354.81 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $7,079.46 Typical High $13,182.57 | Facility | None | $2,137.96 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $741.31 | Professional | None | $398.11 | $537.03 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,288.25 Typical High $2,187.76 | Facility | None | $588.84 | $1,288.25 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $676.08 | Professional | None | $407.38 | $478.63 | $676.08 |
Denver HMP Setting Facility Modifier None Typical Low $354.81 Median $501.19 Typical High $794.33 | Facility | None | $354.81 | $501.19 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $691.83 | Professional | None | $346.74 | $436.52 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $630.96 Typical High $1,479.11 | Facility | None | $316.23 | $630.96 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $295.12 Median $346.74 Typical High $575.44 | Professional | None | $295.12 | $346.74 | $575.44 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $741.31 | Professional | None | $389.05 | $489.78 | $741.31 |
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 $177.83 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | 54 · Surgery only | $263.03 | $263.03 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $42.66 |
Where Colorado sits
The same service costs 4.8 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· 23rd of 51
$525
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.