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 $1,862.09 Median $3,630.78 Typical High $7,762.47 | Facility | None | $1,862.09 | $3,630.78 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,630.78 | Professional | None | $1,862.09 | $1,862.09 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,090.30 | $5,248.07 |
Anthem BCBS 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 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $2,570.40 | Facility | None | $1,905.46 | $2,089.30 | $2,570.40 |
Cigna 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 |
Denver HMP Setting Facility Modifier None Typical Low $1,258.93 Median $1,862.09 Typical High $2,630.27 | Facility | None | $1,258.93 | $1,862.09 | $2,630.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,041.74 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $3,467.37 Typical High $3,890.45 | Facility | None | $1,862.09 | $3,467.37 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,288.25 | $1,862.09 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,819.70 | $1,819.70 | $1,819.70 |
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 $933.25 Median $933.25 Typical High $1,819.70 | Professional | 52 · Reduced service | $933.25 | $933.25 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $371.54 Typical High $724.44 | Professional | 53 · Discontinued | $371.54 | $371.54 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $281.84 Median $281.84 Typical High $537.03 | Professional | 55 · Aftercare only | $281.84 | $281.84 | $537.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $186.21 Typical High $363.08 | Professional | 56 · Pre-op care only | $186.21 | $186.21 | $363.08 |
Where Colorado sits
The same service costs 3.2 times more in Alabama 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· 6th of 51
$2,188
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.