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 $691.83 Median $691.83 Typical High $912.01 | Facility | None | $691.83 | $691.83 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,548.82 | Professional | None | $691.83 | $912.01 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,445.44 Typical High $2,290.87 | Professional | None | $954.99 | $1,445.44 | $2,290.87 |
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 $758.58 Median $1,122.02 Typical High $1,659.59 | Professional | None | $758.58 | $1,122.02 | $1,659.59 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $912.01 Typical High $1,348.96 | Facility | None | $691.83 | $912.01 | $1,348.96 |
Denver HMP Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,819.70 | Professional | None | $776.25 | $1,202.26 | $1,819.70 |
Select Health Setting Facility Modifier None Typical Low $1,071.52 Median $1,412.54 Typical High $2,238.72 | Facility | None | $1,071.52 | $1,412.54 | $2,238.72 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $1,071.52 Typical High $2,089.30 | Professional | None | $489.78 | $1,071.52 | $2,089.30 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,778.28 | Professional | None | $724.44 | $1,047.13 | $1,778.28 |
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 $346.74 Median $426.58 Typical High $467.74 | Professional | 52 · Reduced service | $346.74 | $426.58 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $102.33 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $102.33 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $85.11 Typical High $93.33 | Professional | 56 · Pre-op care only | $69.18 | $85.11 | $93.33 |
Where Colorado sits
The same service costs 3.2 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
$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.