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 $660.69 Median $660.69 Typical High $812.83 | Professional | None | $660.69 | $660.69 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,621.81 | Professional | None | $776.25 | $1,096.48 | $1,621.81 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,137.96 Typical High $2,691.53 | Facility | None | $588.84 | $2,137.96 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,202.26 | Professional | None | $724.44 | $870.96 | $1,202.26 |
Denver HMP Setting Facility Modifier None Typical Low $660.69 Median $831.76 Typical High $1,445.44 | Facility | None | $660.69 | $831.76 | $1,445.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,202.26 | Professional | None | $588.84 | $776.25 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $1,230.27 | Facility | None | $588.84 | $1,071.52 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $870.96 | Professional | None | $588.84 | $691.83 | $870.96 |
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 $724.44 Median $912.01 Typical High $1,380.38 | Professional | None | $724.44 | $912.01 | $1,380.38 |
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 $331.13 Median $331.13 Typical High $346.74 | Professional | 52 · Reduced service | $331.13 | $331.13 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $138.04 | Professional | 53 · Discontinued | $131.83 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $489.78 Median $489.78 Typical High $512.86 | Professional | 54 · Surgery only | $489.78 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $69.18 |
Where Colorado sits
The same service costs 4.7 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
$933
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.