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 $2,089.30 Median $2,089.30 Typical High $3,162.28 | Professional | None | $2,089.30 | $2,089.30 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $15,135.61 Typical High $25,703.96 | Facility | None | $9,772.37 | $15,135.61 | $25,703.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $5,128.61 | Professional | None | $2,454.71 | $3,467.37 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $4,786.30 | Facility | None | $645.65 | $2,290.87 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $3,090.30 Typical High $4,168.69 | Professional | None | $2,041.74 | $3,090.30 | $4,168.69 |
Denver HMP Setting Facility Modifier None Typical Low $2,089.30 Median $2,511.89 Typical High $5,128.61 | Facility | None | $2,089.30 | $2,511.89 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,265.80 | Professional | None | $2,041.74 | $2,884.03 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $4,073.80 Typical High $4,265.80 | Facility | None | $2,041.74 | $4,073.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,412.54 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,041.74 | $3,981.07 |
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 $2,187.76 Median $3,019.95 Typical High $4,897.79 | Professional | None | $2,187.76 | $3,019.95 | $4,897.79 |
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 $1,047.13 Median $1,047.13 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,047.13 | $1,047.13 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | 53 · Discontinued | $416.87 | $416.87 | $501.19 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,862.09 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,862.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 56 · Pre-op care only | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,445.44 | $1,737.80 |
Where Colorado sits
The same service costs 8.1 times more in Alaska than in Texas. 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· 12th of 51
$3,548
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.