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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,230.27 Typical High $2,570.40 | Professional | None | $1,174.90 | $1,230.27 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,000.00 Median $13,182.57 Typical High $23,988.33 | Facility | None | $10,000.00 | $13,182.57 | $23,988.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,412.54 | $1,995.26 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,230.27 | $1,698.24 | $2,344.23 |
Denver HMP Setting Facility Modifier None Typical Low $1,230.27 Median $1,479.11 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,479.11 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,659.59 Typical High $2,454.71 | Professional | None | $1,174.90 | $1,659.59 | $2,454.71 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $2,454.71 | Facility | None | $1,174.90 | $2,344.23 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $2,290.87 | Professional | None | $831.76 | $1,174.90 | $2,290.87 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,737.80 Typical High $2,818.38 | Professional | None | $1,258.93 | $1,737.80 | $2,818.38 |
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 54 · Surgery only Typical Low $891.25 Median $933.25 Typical High $933.25 | Professional | 54 · Surgery only | $891.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $870.96 Typical High $870.96 | Professional | 78 · Unplanned return to OR | $831.76 | $870.96 | $870.96 |
Where Colorado sits
The same service costs 6.8 times more in Alaska than in Texas. 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
$2,239
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.