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 $8,912.51 | Facility | None | $1,148.15 | $3,388.44 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | None | $588.84 | $588.84 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $977.24 Typical High $1,479.11 | Professional | None | $691.83 | $977.24 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $3,801.89 Typical High $6,760.83 | Facility | None | $1,380.38 | $3,801.89 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $741.31 Typical High $1,023.29 | Professional | None | $602.56 | $741.31 | $1,023.29 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,412.54 | Facility | None | $588.84 | $758.58 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $758.58 Typical High $1,202.26 | Professional | None | $575.44 | $758.58 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $575.44 Median $1,047.13 Typical High $1,202.26 | Facility | None | $575.44 | $1,047.13 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | None | $575.44 | $575.44 | $851.14 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $3,548.13 Typical High $10,232.93 | Facility | None | $1,445.44 | $3,548.13 | $10,232.93 |
United Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $616.60 | Professional | None | $302.00 | $389.05 | $616.60 |
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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $123.03 | Professional | 53 · Discontinued | $117.49 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 54 · Surgery only | $446.68 | $446.68 | $457.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $89.13 Median $89.13 Typical High $91.20 | Professional | 55 · Aftercare only | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $58.88 | $60.26 |
Where Colorado sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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
$851
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.