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 $776.25 Median $1,548.82 Typical High $3,235.94 | Facility | None | $776.25 | $1,548.82 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,548.82 | Professional | None | $776.25 | $776.25 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,380.38 Typical High $2,398.83 | Facility | None | $891.25 | $1,380.38 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $3,311.31 | Facility | None | $812.83 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Denver HMP Setting Facility Modifier None Typical Low $60.26 Median $776.25 Typical High $1,096.48 | Facility | None | $60.26 | $776.25 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $4,570.88 Typical High $5,248.07 | Professional | None | $1,995.26 | $4,570.88 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
4 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 $380.19 Median $380.19 Typical High $776.25 | Professional | 52 · Reduced service | $380.19 | $380.19 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | 53 · Discontinued | $154.88 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $229.09 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $77.62 Median $77.62 Typical High $154.88 | Professional | 56 · Pre-op care only | $77.62 | $77.62 | $154.88 |
Where Colorado sits
The same service costs 2.6 times more in Alabama than in Florida. 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· 14th of 51
$1,148
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.