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 $43.65 Median $3,162.28 Typical High $8,912.51 | Facility | None | $43.65 | $3,162.28 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $75.86 | Professional | None | $30.90 | $46.77 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $120.23 | Professional | None | $42.66 | $67.61 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,511.89 Typical High $2,691.53 | Facility | None | $645.65 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $75.86 | Facility | None | $32.36 | $52.48 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $91.20 | Professional | None | $30.20 | $54.95 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $54.95 Typical High $109.65 | Facility | None | $51.29 | $54.95 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $19.05 Median $51.29 Typical High $102.33 | Professional | None | $19.05 | $51.29 | $102.33 |
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 $38.02 Median $60.26 Typical High $97.72 | Professional | None | $38.02 | $60.26 | $97.72 |
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 $16.98 Median $19.95 Typical High $29.51 | Professional | 52 · Reduced service | $16.98 | $19.95 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $11.75 | Professional | 53 · Discontinued | $6.76 | $7.94 | $11.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | 54 · Surgery only | $25.70 | $30.20 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.03 Typical High $8.91 | Professional | 55 · Aftercare only | $5.13 | $6.03 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.98 Typical High $5.89 | Professional | 56 · Pre-op care only | $3.39 | $3.98 | $5.89 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 10th of 51
$66.07
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.