How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,445 to $12,589Professionalmedian $646 · 10th to 90th $468 to $1,047
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 $1,479.11 Median $3,548.13 Typical High $10,715.19 | Facility | None | $1,479.11 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $741.31 | Professional | None | $467.74 | $467.74 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $7,585.78 Typical High $13,182.57 | Facility | None | $4,897.79 | $7,585.78 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,148.15 | Professional | None | $537.03 | $758.58 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,995.26 Typical High $6,760.83 | Facility | None | $1,230.27 | $1,995.26 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $831.76 | Professional | None | $489.78 | $588.84 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $1,023.29 | Facility | None | $467.74 | $602.56 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $912.01 | Professional | None | $457.09 | $602.56 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $2,089.30 | Facility | None | $457.09 | $912.01 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $676.08 | Professional | None | $457.09 | $489.78 | $676.08 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,511.89 | $7,762.47 |
United Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $977.24 | Professional | None | $489.78 | $630.96 | $977.24 |
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 $354.81 Median $354.81 Typical High $354.81 | Professional | 54 · Surgery only | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Where Colorado sits
The same service costs 4.4 times more in Colorado 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.
Physician feeFacility fee
CO $6,812MT $1,536
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.