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 $371.54 Median $371.54 Typical High $501.19 | Facility | None | $371.54 | $371.54 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $851.14 | Professional | None | $371.54 | $501.19 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,258.93 | Professional | None | $524.81 | $794.33 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,691.53 Typical High $2,691.53 | Facility | None | $645.65 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $933.25 | Professional | None | $426.58 | $616.60 | $933.25 |
Denver HMP Setting Facility Modifier None Typical Low $371.54 Median $512.86 Typical High $741.31 | Facility | None | $371.54 | $512.86 | $741.31 |
Denver HMP Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $977.24 | Professional | None | $416.87 | $645.65 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,202.26 | Facility | None | $575.44 | $758.58 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $575.44 Typical High $1,122.02 | Professional | None | $269.15 | $575.44 | $1,122.02 |
United Setting Facility Modifier None Typical Low $630.96 Median $1,380.38 Typical High $7,762.47 | Facility | None | $630.96 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $1,000.00 | Professional | None | $416.87 | $588.84 | $1,000.00 |
3 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 $186.21 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $56.23 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $37.15 | $46.77 | $51.29 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in Indiana. 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
$708
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.