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 $56.23 Median $64.57 Typical High $91.20 | Professional | None | $56.23 | $64.57 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $125.89 | Professional | None | $61.66 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $144.54 | Professional | None | $56.23 | $81.28 | $144.54 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $77.62 Typical High $117.49 | Facility | None | $57.54 | $77.62 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $114.82 | Professional | None | $56.23 | $79.43 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $57.54 Median $93.33 Typical High $123.03 | Facility | None | $57.54 | $93.33 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $112.20 | Professional | None | $40.74 | $57.54 | $112.20 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,754.23 | Facility | None | $758.58 | $1,513.56 | $2,754.23 |
United Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $134.90 | Professional | None | $56.23 | $83.18 | $134.90 |
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 $28.18 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.59 Typical High $15.85 | Professional | 53 · Discontinued | $11.22 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $41.69 Median $47.86 Typical High $60.26 | Professional | 54 · Surgery only | $41.69 | $47.86 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $9.55 Typical High $12.02 | Professional | 55 · Aftercare only | $8.51 | $9.55 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $6.31 Typical High $7.94 | Professional | 56 · Pre-op care only | $5.62 | $6.31 | $7.94 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $85.11 Typical High $120.23 | Professional | 50 · Both sides | $67.61 | $85.11 | $120.23 |
Where Colorado sits
The same service costs 3.4 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· 23rd of 51
$79.43
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.