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 $398.11 Median $776.25 Typical High $1,659.59 | Facility | None | $398.11 | $776.25 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | None | $398.11 | $398.11 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $660.69 Typical High $1,148.15 | Facility | None | $426.58 | $660.69 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $457.09 Typical High $562.34 | Facility | None | $407.38 | $457.09 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $89.13 Median $398.11 Typical High $575.44 | Facility | None | $89.13 | $398.11 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $446.68 Typical High $588.84 | Professional | None | $302.00 | $446.68 | $588.84 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $851.14 | Facility | None | $398.11 | $741.31 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Professional | None | $281.84 | $281.84 | $398.11 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
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 $199.53 Median $199.53 Typical High $354.81 | Professional | 52 · Reduced service | $199.53 | $199.53 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $141.25 | Professional | 53 · Discontinued | $79.43 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $60.26 Typical High $107.15 | Professional | 55 · Aftercare only | $60.26 | $60.26 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $70.79 |
Where Colorado sits
The same service costs 2.8 times more in Arizona than in Alabama. 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· 4th of 51
$479
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.