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 $1,479.11 Median $3,715.35 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $676.08 Typical High $1,148.15 | Professional | None | $489.78 | $676.08 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,479.11 | Professional | None | $588.84 | $933.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $2,089.30 Typical High $2,818.38 | Facility | None | $691.83 | $2,089.30 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $776.25 Typical High $1,148.15 | Professional | None | $512.86 | $776.25 | $1,148.15 |
Denver HMP Setting Facility Modifier None Typical Low $489.78 Median $676.08 Typical High $1,000.00 | Facility | None | $489.78 | $676.08 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $478.63 Median $741.31 Typical High $1,148.15 | Professional | None | $478.63 | $741.31 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $2,454.71 | Facility | None | $676.08 | $1,258.93 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $676.08 Typical High $1,318.26 | Professional | None | $302.00 | $676.08 | $1,318.26 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,288.25 | Professional | None | $537.03 | $776.25 | $1,288.25 |
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 $245.47 Median $288.40 Typical High $338.84 | Professional | 52 · Reduced service | $245.47 | $288.40 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $114.82 Typical High $134.90 | Professional | 53 · Discontinued | $97.72 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $436.52 Typical High $512.86 | Professional | 54 · Surgery only | $371.54 | $436.52 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $74.13 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $57.54 Typical High $67.61 | Professional | 56 · Pre-op care only | $48.98 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $407.38 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $346.74 | $407.38 | $478.63 |
Where Colorado sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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
$977
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.