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 $70.79 Median $109.65 Typical High $147.91 | Professional | None | $70.79 | $109.65 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $251.19 | Professional | None | $87.10 | $147.91 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $234.42 | Professional | None | $81.28 | $125.89 | $234.42 |
Denver HMP Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $186.21 | Facility | None | $72.44 | $123.03 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $234.42 | Professional | None | $79.43 | $131.83 | $234.42 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $257.04 | Facility | None | $120.23 | $125.89 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $151.36 | Professional | None | $54.95 | $107.15 | $151.36 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,754.23 | Facility | None | $758.58 | $1,513.56 | $2,754.23 |
United Setting Professional Modifier None Typical Low $75.86 Median $125.89 Typical High $229.09 | Professional | None | $75.86 | $125.89 | $229.09 |
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 $36.31 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $36.31 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $14.45 | $21.88 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $81.28 Typical High $95.50 | Professional | 54 · Surgery only | $53.70 | $81.28 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $16.60 Typical High $19.05 | Professional | 55 · Aftercare only | $10.72 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.96 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.24 | $10.96 | $12.59 |
Where Colorado sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 17th of 51
$135
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.