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 $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | None | $346.74 | $346.74 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Professional | None | $416.87 | $575.44 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $2,137.96 Typical High $2,691.53 | Facility | None | $436.52 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $457.09 Typical High $630.96 | Professional | None | $380.19 | $457.09 | $630.96 |
Denver HMP Setting Facility Modifier None Typical Low $346.74 Median $457.09 Typical High $776.25 | Facility | None | $346.74 | $457.09 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $630.96 | Professional | None | $323.59 | $407.38 | $630.96 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $575.44 Typical High $645.65 | Facility | None | $309.03 | $575.44 | $645.65 |
Select Health Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $467.74 | Professional | None | $309.03 | $371.54 | $467.74 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $758.58 | Professional | None | $371.54 | $489.78 | $758.58 |
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 $173.78 Median $173.78 Typical High $181.97 | Professional | 52 · Reduced service | $173.78 | $173.78 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $72.44 | Professional | 53 · Discontinued | $69.18 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $263.03 Typical High $275.42 | Professional | 54 · Surgery only | $263.03 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $54.95 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $36.31 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $36.31 |
Where Colorado sits
The same service costs 4.9 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· 21st of 51
$513
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.