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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $1,737.80 | Professional | None | $446.68 | $446.68 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $8,912.51 | Facility | None | $3,467.37 | $5,248.07 | $8,912.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $741.31 Typical High $1,096.48 | Professional | None | $524.81 | $741.31 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $2,691.53 | Facility | None | $645.65 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $912.01 | Professional | None | $457.09 | $660.69 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $562.34 Typical High $1,023.29 | Facility | None | $446.68 | $562.34 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $588.84 Typical High $870.96 | Professional | None | $416.87 | $588.84 | $870.96 |
Select Health Setting Facility Modifier None Typical Low $416.87 Median $831.76 Typical High $870.96 | Facility | None | $416.87 | $831.76 | $870.96 |
Select Health Setting Professional Modifier None Typical Low $288.40 Median $416.87 Typical High $812.83 | Professional | None | $288.40 | $416.87 | $812.83 |
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 $501.19 Median $676.08 Typical High $1,071.52 | Professional | None | $501.19 | $676.08 | $1,071.52 |
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 $218.78 Median $218.78 Typical High $269.15 | Professional | 52 · Reduced service | $218.78 | $218.78 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 53 · Discontinued | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $331.13 Typical High $407.38 | Professional | 54 · Surgery only | $331.13 | $331.13 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | 55 · Aftercare only | $66.07 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | 56 · Pre-op care only | $44.67 | $44.67 | $53.70 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 7th of 51
$891
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.