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 $467.74 Median $933.25 Typical High $1,995.26 | Facility | None | $467.74 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $691.83 | Professional | None | $467.74 | $467.74 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,479.11 | Facility | None | $501.19 | $741.31 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $660.69 Typical High $660.69 | Facility | None | $512.86 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Denver HMP Setting Facility Modifier None Typical Low $234.42 Median $467.74 Typical High $660.69 | Facility | None | $234.42 | $467.74 | $660.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $933.25 | Professional | None | $346.74 | $512.86 | $933.25 |
Select Health Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $977.24 | Facility | None | $467.74 | $870.96 | $977.24 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | None | $323.59 | $323.59 | $467.74 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
2 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 55 · Aftercare only Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | 55 · Aftercare only | $69.18 | $69.18 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $93.33 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $93.33 |
Where Colorado sits
The same service costs 3.9 times more in Alabama than in Oklahoma. 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· 7th of 51
$603
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.