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 $660.69 Median $3,235.94 Typical High $9,120.11 | Facility | None | $660.69 | $3,235.94 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $851.14 | Professional | None | $316.23 | $549.54 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $724.44 Typical High $1,318.26 | Professional | None | $380.19 | $724.44 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $645.65 Typical High $1,659.59 | Facility | None | $426.58 | $645.65 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $891.25 | Professional | None | $363.08 | $588.84 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $954.99 | Facility | None | $323.59 | $645.65 | $954.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $524.81 Typical High $1,096.48 | Professional | None | $309.03 | $524.81 | $1,096.48 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $645.65 Typical High $1,380.38 | Facility | None | $524.81 | $645.65 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $645.65 | Professional | None | $181.97 | $323.59 | $645.65 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $354.81 Median $630.96 Typical High $1,122.02 | Professional | None | $354.81 | $630.96 | $1,122.02 |
1 more rate 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 54 · Surgery only Typical Low $239.88 Median $371.54 Typical High $501.19 | Professional | 54 · Surgery only | $239.88 | $371.54 | $501.19 |
Where Colorado sits
The same service costs 3.1 times more in Alaska than in Maryland. 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.