How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,949.84 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $977.24 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $389.05 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $302.00 Typical High $302.00 | Professional | 55 · Aftercare only | $295.12 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $194.98 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,737.80 | Professional | None | $218.78 | $218.78 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,041.74 | $2,570.40 |
Denver HMP Setting Facility Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $2,570.40 | Facility | None | $1,819.70 | $2,041.74 | $2,570.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,089.30 Median $2,691.53 Typical High $4,168.69 | Professional | None | $2,089.30 | $2,691.53 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $3,801.89 Typical High $4,365.16 | Facility | None | $1,737.80 | $3,801.89 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,137.96 Typical High $3,019.95 | Professional | None | $1,737.80 | $2,137.96 | $3,019.95 |
1 more rate 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $1,548.82 Median $1,778.28 Typical High $2,089.30 | Professional | HO · Master's level | $1,548.82 | $1,778.28 | $2,089.30 |
Where Colorado sits
The same service costs 42.7 times more in Hawaii than in New York. 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· 9th of 51
$2,042
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.