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 $8,511.38 Median $16,982.44 Typical High $36,307.81 | Facility | None | $8,511.38 | $16,982.44 | $36,307.81 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,709.64 | Professional | None | $8,511.38 | $8,511.38 | $8,709.64 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $15,135.61 Typical High $26,302.68 | Facility | None | $9,772.37 | $15,135.61 | $26,302.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Cigna Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Denver HMP Setting Facility Modifier None Typical Low $380.19 Median $8,511.38 Typical High $12,022.64 | Facility | None | $380.19 | $8,511.38 | $12,022.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $346.74 Typical High $12,882.50 | Professional | None | $154.88 | $346.74 | $12,882.50 |
Select Health Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $10,471.29 | Professional | None | $9,549.93 | $9,549.93 | $10,471.29 |
United Setting Professional Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $9,332.54 | Professional | None | $8,709.64 | $8,709.64 | $9,332.54 |
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 $4,265.80 Median $4,265.80 Typical High $4,365.16 | Professional | 52 · Reduced service | $4,265.80 | $4,265.80 | $4,365.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,698.24 Median $1,698.24 Typical High $1,737.80 | Professional | 53 · Discontinued | $1,698.24 | $1,698.24 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Professional | 55 · Aftercare only | $1,258.93 | $1,258.93 | $1,318.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $851.14 Median $851.14 Typical High $870.96 | Professional | 56 · Pre-op care only | $851.14 | $851.14 | $870.96 |
Where Colorado sits
The same service costs 26.3 times more in Alaska than in Montana. 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· 41st of 51
$8,710
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.