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 $234.42 Median $457.09 Typical High $977.24 | Facility | None | $234.42 | $457.09 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $457.09 | Professional | None | $234.42 | $234.42 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $741.31 | Facility | None | $251.19 | $371.54 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $331.13 | Facility | None | $234.42 | $263.03 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Denver HMP Setting Facility Modifier None Typical Low $181.97 Median $234.42 Typical High $331.13 | Facility | None | $181.97 | $234.42 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $257.04 Typical High $467.74 | Professional | None | $173.78 | $257.04 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $234.42 Median $426.58 Typical High $489.78 | Facility | None | $234.42 | $426.58 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | None | $162.18 | $162.18 | $234.42 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
2 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 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $67.61 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $45.71 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $45.71 |
Where Colorado sits
The same service costs 1.6 times more in Arizona than in Hawaii. 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· 5th of 51
$275
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.