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 $2,137.96 Median $3,388.44 Typical High $9,120.11 | Facility | None | $2,137.96 | $3,388.44 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $2,238.72 Typical High $3,090.30 | Professional | None | $2,137.96 | $2,238.72 | $3,090.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $3,548.13 Typical High $6,165.95 | Facility | None | $2,290.87 | $3,548.13 | $6,165.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,454.71 Typical High $3,019.95 | Facility | None | $2,187.76 | $2,454.71 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
Denver HMP Setting Facility Modifier None Typical Low $1,122.02 Median $2,137.96 Typical High $3,090.30 | Facility | None | $1,122.02 | $2,137.96 | $3,090.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,621.81 Median $2,398.83 Typical High $4,265.80 | Professional | None | $1,621.81 | $2,398.83 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,137.96 Median $3,981.07 Typical High $4,570.88 | Facility | None | $2,137.96 | $3,981.07 | $4,570.88 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,137.96 | Professional | None | $1,513.56 | $1,513.56 | $2,137.96 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None | $2,137.96 | $2,137.96 | $2,137.96 |
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 $1,071.52 Median $1,071.52 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $436.52 Typical High $851.14 | Professional | 53 · Discontinued | $436.52 | $436.52 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $323.59 Median $323.59 Typical High $630.96 | Professional | 55 · Aftercare only | $323.59 | $323.59 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $426.58 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $426.58 |
Where Colorado sits
The same service costs 2.0 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· 8th of 51
$2,455
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.