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 $562.34 Median $954.99 Typical High $2,818.38 | Facility | None | $562.34 | $954.99 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $1,174.90 | Professional | None | $562.34 | $616.60 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $977.24 Typical High $1,698.24 | Facility | None | $630.96 | $977.24 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,047.13 | Facility | None | $575.44 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $812.83 | Facility | None | $562.34 | $630.96 | $812.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $616.60 Typical High $1,122.02 | Professional | None | $426.58 | $616.60 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,174.90 | Facility | None | $562.34 | $1,047.13 | $1,174.90 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $562.34 | Professional | None | $398.11 | $398.11 | $562.34 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
United Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $281.84 Median $281.84 Typical High $660.69 | Professional | 52 · Reduced service | $281.84 | $281.84 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $112.20 Typical High $263.03 | Professional | 53 · Discontinued | $112.20 | $112.20 | $263.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $85.11 Typical High $194.98 | Professional | 55 · Aftercare only | $85.11 | $85.11 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $56.23 Typical High $131.83 | Professional | 56 · Pre-op care only | $56.23 | $56.23 | $131.83 |
Where Colorado sits
The same service costs 2.7 times more in Wyoming than in Georgia. 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· 10th of 51
$708
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.