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 $645.65 Median $645.65 Typical High $6,025.60 | Professional | None | $645.65 | $645.65 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,513.56 | Professional | None | $741.31 | $1,023.29 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $3,311.31 Typical High $5,128.61 | Facility | None | $691.83 | $3,311.31 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,230.27 | Professional | None | $676.08 | $912.01 | $1,230.27 |
Denver HMP Setting Facility Modifier None Typical Low $645.65 Median $851.14 Typical High $1,445.44 | Facility | None | $645.65 | $851.14 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,230.27 | Professional | None | $588.84 | $812.83 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $4,570.88 | Facility | None | $588.84 | $1,174.90 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,148.15 | Professional | None | $407.38 | $588.84 | $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 $724.44 Median $933.25 Typical High $1,445.44 | Professional | None | $724.44 | $933.25 | $1,445.44 |
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 $323.59 Median $323.59 Typical High $407.38 | Professional | 52 · Reduced service | $323.59 | $323.59 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | 53 · Discontinued | $128.82 | $128.82 | $162.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | 54 · Surgery only | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $457.09 Median $457.09 Typical High $562.34 | Professional | 78 · Unplanned return to OR | $457.09 | $457.09 | $562.34 |
Where Colorado sits
The same service costs 5.4 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· 11th of 51
$1,259
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.