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 $112.20 Median $194.98 Typical High $251.19 | Professional | None | $112.20 | $194.98 | $251.19 |
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 $131.83 Median $245.47 Typical High $446.68 | Professional | None | $131.83 | $245.47 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $954.99 Typical High $1,659.59 | Facility | None | $436.52 | $954.99 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $213.80 Typical High $338.84 | Professional | None | $123.03 | $213.80 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $223.87 Typical High $346.74 | Facility | None | $112.20 | $223.87 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $251.19 Typical High $426.58 | Professional | None | $128.82 | $251.19 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $1,096.48 | Facility | None | $204.17 | $457.09 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $251.19 | Professional | None | $91.20 | $134.90 | $251.19 |
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 $125.89 Median $218.78 Typical High $363.08 | Professional | None | $125.89 | $218.78 | $363.08 |
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 $56.23 Median $83.18 Typical High $114.82 | Professional | 52 · Reduced service | $56.23 | $83.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $45.71 | Professional | 53 · Discontinued | $22.39 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $125.89 Typical High $173.78 | Professional | 54 · Surgery only | $83.18 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $25.12 Typical High $34.67 | Professional | 55 · Aftercare only | $16.60 | $25.12 | $34.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $16.60 Typical High $22.91 | Professional | 56 · Pre-op care only | $11.22 | $16.60 | $22.91 |
Where Colorado sits
The same service costs 3.8 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· 19th of 51
$229
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.