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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $630.96 Typical High $851.14 | Professional | None | $602.56 | $630.96 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $933.25 Typical High $1,318.26 | Professional | None | $676.08 | $933.25 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,041.74 Typical High $2,691.53 | Facility | None | $691.83 | $2,041.74 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $776.25 Typical High $1,122.02 | Professional | None | $575.44 | $776.25 | $1,122.02 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $741.31 Typical High $1,548.82 | Facility | None | $602.56 | $741.31 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,348.96 | Professional | None | $676.08 | $851.14 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,230.27 Typical High $2,398.83 | Facility | None | $616.60 | $1,230.27 | $2,398.83 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,148.15 | Professional | None | $524.81 | $616.60 | $1,148.15 |
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 $588.84 Median $776.25 Typical High $1,230.27 | Professional | None | $588.84 | $776.25 | $1,230.27 |
6 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 $302.00 Median $316.23 Typical High $363.08 | Professional | 52 · Reduced service | $302.00 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $125.89 Typical High $147.91 | Professional | 53 · Discontinued | $120.23 | $125.89 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $478.63 Typical High $549.54 | Professional | 54 · Surgery only | $446.68 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $95.50 Typical High $109.65 | Professional | 55 · Aftercare only | $89.13 | $95.50 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $63.10 Typical High $72.44 | Professional | 56 · Pre-op care only | $60.26 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $446.68 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $416.87 | $446.68 | $512.86 |
Where Colorado sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$891
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.