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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $398.11 | Professional | None | $208.93 | $269.15 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $501.19 | Professional | None | $229.09 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $1,659.59 | Facility | None | $208.93 | $331.13 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $426.58 | Professional | None | $204.17 | $295.12 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $245.47 Median $331.13 Typical High $478.63 | Facility | None | $245.47 | $331.13 | $478.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $446.68 | Professional | None | $204.17 | $295.12 | $446.68 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $295.12 Typical High $616.60 | Facility | None | $251.19 | $295.12 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $295.12 | Professional | None | $120.23 | $213.80 | $295.12 |
United Setting Facility Modifier None Typical Low $489.78 Median $1,122.02 Typical High $2,754.23 | Facility | None | $489.78 | $1,122.02 | $2,754.23 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $524.81 | Professional | None | $218.78 | $316.23 | $524.81 |
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 $123.03 Median $125.89 Typical High $165.96 | Professional | 52 · Reduced service | $123.03 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $66.07 | Professional | 53 · Discontinued | $48.98 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $190.55 Typical High $251.19 | Professional | 54 · Surgery only | $181.97 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $38.02 Typical High $50.12 | Professional | 55 · Aftercare only | $36.31 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.12 Typical High $33.11 | Professional | 56 · Pre-op care only | $24.55 | $25.12 | $33.11 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$347
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.