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 $537.03 Median $537.03 Typical High $5,495.41 | Professional | None | $537.03 | $537.03 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,258.93 | Professional | None | $602.56 | $851.14 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $537.03 Typical High $1,659.59 | Facility | None | $389.05 | $537.03 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $1,047.13 | Professional | None | $602.56 | $758.58 | $1,047.13 |
Denver HMP Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $1,148.15 | Facility | None | $489.78 | $676.08 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $977.24 | Professional | None | $467.74 | $660.69 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $512.86 Typical High $977.24 | Facility | None | $467.74 | $512.86 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $912.01 | Professional | None | $323.59 | $467.74 | $912.01 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $2,884.03 | Facility | None | $489.78 | $1,122.02 | $2,884.03 |
United Setting Professional Modifier None Typical Low $616.60 Median $794.33 Typical High $1,230.27 | Professional | None | $616.60 | $794.33 | $1,230.27 |
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 $269.15 Median $269.15 Typical High $338.84 | Professional | 52 · Reduced service | $269.15 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 53 · Discontinued | $107.15 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $398.11 Typical High $512.86 | Professional | 54 · Surgery only | $398.11 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | 56 · Pre-op care only | $53.70 | $53.70 | $67.61 |
Where Colorado sits
The same service costs 4.0 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· 9th of 51
$933
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.