How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,445 to $12,589Professionalmedian $589 · 10th to 90th $427 to $933
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 $3,548.13 Typical High $10,715.19 | Facility | None | $660.69 | $3,548.13 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $691.83 | Professional | None | $426.58 | $426.58 | $691.83 |
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 $489.78 Median $691.83 Typical High $1,023.29 | Professional | None | $489.78 | $691.83 | $1,023.29 |
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 $436.52 Median $524.81 Typical High $741.31 | Professional | None | $436.52 | $524.81 | $741.31 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $537.03 Typical High $933.25 | Facility | None | $426.58 | $537.03 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $549.54 Typical High $831.76 | Professional | None | $407.38 | $549.54 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $831.76 Typical High $2,089.30 | Facility | None | $407.38 | $831.76 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $436.52 Typical High $616.60 | Professional | None | $407.38 | $436.52 | $616.60 |
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 $436.52 Median $562.34 Typical High $870.96 | Professional | None | $436.52 | $562.34 | $870.96 |
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 $316.23 Median $316.23 Typical High $323.59 | Professional | 54 · Surgery only | $316.23 | $316.23 | $323.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $295.12 | $295.12 | $302.00 |
Where Colorado sits
The same service costs 4.9 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 $6,755MT $1,384
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.