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 $1,905.46 Median $3,715.35 Typical High $7,762.47 | Facility | None | $1,905.46 | $3,715.35 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $3,715.35 | Professional | None | $1,905.46 | $1,905.46 | $3,715.35 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,370.32 | Facility | None | $2,041.74 | $3,162.28 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $2,951.21 | Facility | None | $1,949.84 | $2,137.96 | $2,951.21 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,905.46 | $1,905.46 | $1,905.46 |
Denver HMP Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,754.23 | Facility | None | $1,905.46 | $2,137.96 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $3,801.89 | Professional | None | $1,445.44 | $2,089.30 | $3,801.89 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $3,981.07 | Facility | None | $1,905.46 | $3,548.13 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 $954.99 Median $954.99 Typical High $1,862.09 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $741.31 | Professional | 53 · Discontinued | $380.19 | $380.19 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $549.54 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $371.54 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $371.54 |
Where Colorado sits
The same service costs 2.3 times more in Texas than in Maryland. 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· 8th of 51
$2,344
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.