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 $120.23 Median $162.18 Typical High $4,570.88 | Facility | None | $120.23 | $162.18 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $4,570.88 Typical High $8,317.64 | Professional | None | $2,344.23 | $4,570.88 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $5,495.41 Typical High $8,511.38 | Professional | None | $3,801.89 | $5,495.41 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $17,782.79 Median $17,782.79 Typical High $19,498.45 | Facility | None | $17,782.79 | $17,782.79 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,073.80 | Professional | None | $2,951.21 | $2,951.21 | $4,073.80 |
Denver HMP Setting Facility Modifier None Typical Low $2,884.03 Median $4,570.88 Typical High $6,456.54 | Facility | None | $2,884.03 | $4,570.88 | $6,456.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $6,025.60 | Professional | None | $2,818.38 | $4,466.84 | $6,025.60 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $6,025.60 | Facility | None | $2,818.38 | $5,248.07 | $6,025.60 |
Select Health Setting Professional Modifier None Typical Low $1,202.26 Median $2,818.38 Typical High $5,495.41 | Professional | None | $1,202.26 | $2,818.38 | $5,495.41 |
United Setting Facility Modifier None Typical Low $9,332.54 Median $12,022.64 Typical High $19,054.61 | Facility | None | $9,332.54 | $12,022.64 | $19,054.61 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $4,570.88 Typical High $6,606.93 | Professional | None | $1,698.24 | $4,570.88 | $6,606.93 |
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 $1,148.15 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,148.15 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $912.01 Typical High $912.01 | Professional | 53 · Discontinued | $467.74 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,737.80 Median $3,388.44 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,737.80 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $691.83 Typical High $691.83 | Professional | 55 · Aftercare only | $346.74 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $234.42 Median $457.09 Typical High $457.09 | Professional | 56 · Pre-op care only | $234.42 | $457.09 | $457.09 |
Where Colorado sits
The same service costs 14.1 times more in Alaska than in Missouri. 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
$5,012
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.