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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,513.56 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $758.58 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $223.87 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $151.36 | $169.82 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $1,348.96 | Professional | None | $218.78 | $218.78 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,737.80 | $1,737.80 | $2,187.76 |
Denver HMP Setting Facility Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,187.76 | Facility | None | $1,548.82 | $1,698.24 | $2,187.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,238.72 Typical High $3,548.13 | Professional | None | $1,778.28 | $2,238.72 | $3,548.13 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $3,235.94 Typical High $3,715.35 | Facility | None | $1,445.44 | $3,235.94 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,380.38 | $1,819.70 | $2,570.40 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $1,318.26 Median $1,513.56 Typical High $1,778.28 | Professional | HO · Master's level | $1,318.26 | $1,513.56 | $1,778.28 |
Where Colorado sits
The same service costs 36.3 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· 6th of 51
$1,698
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.