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 $446.68 Median $446.68 Typical High $3,388.44 | Professional | None | $446.68 | $446.68 | $3,388.44 |
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 $588.84 Median $831.76 Typical High $1,230.27 | Professional | None | $588.84 | $831.76 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $1,659.59 | Facility | None | $213.80 | $331.13 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $724.44 Typical High $1,000.00 | Professional | None | $537.03 | $724.44 | $1,000.00 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $758.58 | Facility | None | $446.68 | $616.60 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $954.99 | Professional | None | $446.68 | $645.65 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $257.04 Median $446.68 Typical High $954.99 | Facility | None | $257.04 | $446.68 | $954.99 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $870.96 | Professional | None | $316.23 | $446.68 | $870.96 |
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 $524.81 Median $724.44 Typical High $1,174.90 | Professional | None | $524.81 | $724.44 | $1,174.90 |
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 $223.87 Median $223.87 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $223.87 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | 53 · Discontinued | $89.13 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | 54 · Surgery only | $338.84 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $54.95 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $54.95 |
Where Colorado sits
The same service costs 3.2 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
$871
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.