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 $1,513.56 Median $3,630.78 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,630.78 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | None | $537.03 | $537.03 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $870.96 Typical High $1,288.25 | Professional | None | $602.56 | $870.96 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,380.38 Typical High $2,187.76 | Facility | None | $588.84 | $1,380.38 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $912.01 | Professional | None | $512.86 | $645.65 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $537.03 Median $645.65 Typical High $1,148.15 | Facility | None | $537.03 | $645.65 | $1,148.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,023.29 | Professional | None | $512.86 | $676.08 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $1,023.29 Typical High $1,584.89 | Facility | None | $512.86 | $1,023.29 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $562.34 Typical High $776.25 | Professional | None | $512.86 | $562.34 | $776.25 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $501.19 Median $660.69 Typical High $1,071.52 | Professional | None | $501.19 | $660.69 | $1,071.52 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $371.54 | $371.54 | $371.54 |
Where Colorado sits
The same service costs 8.1 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· 12th of 51
$871
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.