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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,698.24 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,698.24 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $6,456.54 Typical High $12,589.25 | Facility | None | $588.84 | $6,456.54 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,318.26 | $1,819.70 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,398.83 | Facility | None | $1,023.29 | $1,318.26 | $2,398.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Professional | None | $954.99 | $1,288.25 | $1,905.46 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $1,905.46 Typical High $10,964.78 | Facility | None | $954.99 | $1,905.46 | $10,964.78 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,096.48 Typical High $1,445.44 | Professional | None | $954.99 | $1,096.48 | $1,445.44 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,071.52 | $1,380.38 | $2,137.96 |
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 $512.86 Median $512.86 Typical High $524.81 | Professional | 52 · Reduced service | $512.86 | $512.86 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | 53 · Discontinued | $204.17 | $204.17 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $794.33 | Professional | 54 · Surgery only | $776.25 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $724.44 | $724.44 | $741.31 |
Where Colorado sits
The same service costs 6.2 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· 13th of 51
$1,698
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.