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 $3,090.30 Median $5,495.41 Typical High $8,912.51 | Facility | None | $3,090.30 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $6,760.83 | Professional | None | $4,073.80 | $4,786.30 | $6,760.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,677.35 Median $6,606.93 Typical High $9,549.93 | Professional | None | $4,677.35 | $6,606.93 | $9,549.93 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $2,454.71 Typical High $3,235.94 | Facility | None | $758.58 | $2,454.71 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $4,168.69 Median $6,025.60 Typical High $7,762.47 | Professional | None | $4,168.69 | $6,025.60 | $7,762.47 |
Denver HMP Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $6,760.83 | Facility | None | $4,265.80 | $4,786.30 | $6,760.83 |
Select Health Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Facility | None | $2,691.53 | $2,691.53 | $2,884.03 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,548.82 Typical High $8,912.51 | Facility | None | $645.65 | $1,548.82 | $8,912.51 |
United Setting Professional Modifier None Typical Low $4,570.88 Median $5,888.44 Typical High $8,912.51 | Professional | None | $4,570.88 | $5,888.44 | $8,912.51 |
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 $2,041.74 Median $2,344.23 Typical High $2,630.27 | Professional | 52 · Reduced service | $2,041.74 | $2,344.23 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $954.99 Typical High $1,047.13 | Professional | 53 · Discontinued | $812.83 | $954.99 | $1,047.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,090.30 Median $3,548.13 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,090.30 | $3,548.13 | $3,981.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $616.60 Median $707.95 Typical High $794.33 | Professional | 55 · Aftercare only | $616.60 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $407.38 Median $478.63 Typical High $524.81 | Professional | 56 · Pre-op care only | $407.38 | $478.63 | $524.81 |
Where Colorado sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 10th of 51
$6,166
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.