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 $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,380.38 | Professional | None | $660.69 | $933.25 | $1,380.38 |
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 $575.44 Median $691.83 Typical High $977.24 | Professional | None | $575.44 | $691.83 | $977.24 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,288.25 | Facility | None | $501.19 | $724.44 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,071.52 | Professional | None | $512.86 | $676.08 | $1,071.52 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $1,071.52 | Facility | None | $512.86 | $954.99 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $776.25 | Professional | None | $512.86 | $512.86 | $776.25 |
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 $323.59 Median $426.58 Typical High $691.83 | Professional | None | $323.59 | $426.58 | $691.83 |
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 $281.84 Median $281.84 Typical High $288.40 | Professional | 52 · Reduced service | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | 53 · Discontinued | $112.20 | $112.20 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $426.58 Typical High $436.52 | Professional | 54 · Surgery only | $426.58 | $426.58 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $57.54 |
Where Colorado sits
The same service costs 10.5 times more in Alaska than in Hawaii. 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· 11th of 51
$794
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.