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 $524.81 Median $831.76 Typical High $2,238.72 | Facility | None | $524.81 | $831.76 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $1,071.52 | Professional | None | $524.81 | $524.81 | $1,071.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $870.96 Typical High $1,513.56 | Facility | None | $562.34 | $870.96 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $831.76 | Facility | None | $524.81 | $645.65 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $758.58 | Facility | None | $524.81 | $524.81 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $851.14 Median $912.01 Typical High $2,041.74 | Professional | None | $851.14 | $912.01 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,122.02 | Facility | None | $524.81 | $977.24 | $1,122.02 |
Select Health Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
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 $263.03 Median $263.03 Typical High $524.81 | Professional | 52 · Reduced service | $263.03 | $263.03 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $213.80 | Professional | 53 · Discontinued | $107.15 | $107.15 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $79.43 Typical High $158.49 | Professional | 55 · Aftercare only | $79.43 | $79.43 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $52.48 Typical High $107.15 | Professional | 56 · Pre-op care only | $52.48 | $52.48 | $107.15 |
Where Colorado sits
The same service costs 14.1 times more in Alabama than in Pennsylvania. 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
$646
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.