How much rates vary
Facilitymedian $6,918 · 10th to 90th $2,951 to $13,183Professionalmedian $501 · 10th to 90th $372 to $6,310
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 $3,090.30 Median $6,165.95 Typical High $13,489.63 | Facility | None | $3,090.30 | $6,165.95 | $13,489.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5,888.44 Median $8,128.31 Typical High $26,302.68 | Professional | None (both parts) | $5,888.44 | $8,128.31 | $26,302.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $309.03 Typical High $331.13 | Professional | 26 · Professional part | $295.12 | $309.03 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,079.46 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $338.84 | $645.65 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $426.58 Typical High $676.08 | Professional | 26 · Professional part | $323.59 | $426.58 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $5,248.07 Median $9,332.54 Typical High $12,882.50 | Facility | None | $5,248.07 | $9,332.54 | $12,882.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $436.52 Typical High $602.56 | Professional | 26 · Professional part | $354.81 | $436.52 | $602.56 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $346.74 Typical High $446.68 | Facility | None | $309.03 | $346.74 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,570.88 Median $5,495.41 Typical High $5,754.40 | Professional | None | $4,570.88 | $5,495.41 | $5,754.40 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $407.38 Typical High $616.60 | Professional | 26 · Professional part | $275.42 | $407.38 | $616.60 |
Select Health Setting Facility Modifier 26 · Professional part Typical Low $295.12 Median $537.03 Typical High $616.60 | Facility | 26 · Professional part | $295.12 | $537.03 | $616.60 |
Select Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | 26 · Professional part | $204.17 | $204.17 | $295.12 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $14,125.38 | Facility | None | $1,949.84 | $4,265.80 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $371.54 | $457.09 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $457.09 Typical High $758.58 | Professional | 26 · Professional part | $371.54 | $457.09 | $758.58 |
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 $151.36 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $151.36 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $60.26 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | 54 · Surgery only | $223.87 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $46.77 Typical High $46.77 | Professional | 55 · Aftercare only | $44.67 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | 56 · Pre-op care only | $30.20 | $30.90 | $30.90 |
Where Colorado sits
The same service costs 23.4 times more in Colorado 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· 1st of 51
$6,761
CO $6,761KY $288
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.