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 $34.67 Median $3,235.94 Typical High $8,709.64 | Facility | None | $34.67 | $3,235.94 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $34.67 Typical High $64.57 | Professional | None | $26.30 | $34.67 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $54.95 Typical High $87.10 | Professional | None | $36.31 | $54.95 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,290.87 Typical High $2,691.53 | Facility | None | $436.52 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $67.61 | Professional | None | $34.67 | $46.77 | $67.61 |
Denver HMP Setting Facility Modifier None Typical Low $26.30 Median $43.65 Typical High $56.23 | Facility | None | $26.30 | $43.65 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $67.61 | Professional | None | $27.54 | $43.65 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $50.12 Typical High $83.18 | Facility | None | $39.81 | $50.12 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $39.81 Typical High $77.62 | Professional | None | $17.78 | $39.81 | $77.62 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $77.62 | Professional | None | $35.48 | $48.98 | $77.62 |
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 $13.18 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $13.18 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.92 Typical High $7.76 | Professional | 53 · Discontinued | $5.25 | $6.92 | $7.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $19.50 Median $26.30 Typical High $28.84 | Professional | 54 · Surgery only | $19.50 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $5.25 Typical High $5.75 | Professional | 55 · Aftercare only | $3.89 | $5.25 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $3.47 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.63 | $3.47 | $3.89 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $16.22 Median $21.38 Typical High $33.88 | Professional | 62 · Two surgeons | $16.22 | $21.38 | $33.88 |
Where Colorado sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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
$52.48
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.