How much rates vary
Facilitymedian $6,166 · 10th to 90th $1,445 to $12,589Professionalmedian $575 · 10th to 90th $417 to $912
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 $416.87 Median $416.87 Typical High $630.96 | Professional | None | $416.87 | $416.87 | $630.96 |
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 $478.63 Median $676.08 Typical High $1,000.00 | Professional | None | $478.63 | $676.08 | $1,000.00 |
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 $426.58 Median $524.81 Typical High $724.44 | Professional | None | $426.58 | $524.81 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $891.25 | Facility | None | $416.87 | $537.03 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $524.81 Typical High $794.33 | Professional | None | $398.11 | $524.81 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $2,089.30 | Facility | None | $398.11 | $794.33 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $426.58 Typical High $588.84 | Professional | None | $398.11 | $426.58 | $588.84 |
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 $426.58 Median $549.54 Typical High $851.14 | Professional | None | $426.58 | $549.54 | $851.14 |
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 $309.03 Median $309.03 Typical High $316.23 | Professional | 54 · Surgery only | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $288.40 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $288.40 | $288.40 | $295.12 |
Where Colorado sits
The same service costs 5.1 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 $6,741MT $1,322
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.