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 $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
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 $257.04 Median $346.74 Typical High $478.63 | Professional | None | $257.04 | $346.74 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $3,311.31 | Facility | None | $724.44 | $1,047.13 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $446.68 | Professional | None | $251.19 | $302.00 | $446.68 |
Denver HMP Setting Facility Modifier None Typical Low $229.09 Median $281.84 Typical High $512.86 | Facility | None | $229.09 | $281.84 | $512.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $446.68 | Professional | None | $223.87 | $288.40 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $1,096.48 | Facility | None | $204.17 | $407.38 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $380.19 | Professional | None | $190.55 | $223.87 | $380.19 |
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 $239.88 Median $309.03 Typical High $467.74 | Professional | None | $239.88 | $309.03 | $467.74 |
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 $114.82 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | 54 · Surgery only | $169.82 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | 55 · Aftercare only | $33.88 | $33.88 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 56 · Pre-op care only | $22.91 | $22.91 | $26.92 |
Where Colorado sits
The same service costs 4.7 times more in Wyoming 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· 22nd of 51
$339
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.