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 $1,659.59 Median $3,715.35 Typical High $10,964.78 | Facility | None | $1,659.59 | $3,715.35 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $309.03 Typical High $316.23 | Professional | None | $223.87 | $309.03 | $316.23 |
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 $257.04 Median $363.08 Typical High $537.03 | Professional | None | $257.04 | $363.08 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $407.38 Typical High $2,691.53 | Facility | None | $234.42 | $407.38 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $524.81 | Professional | None | $245.47 | $354.81 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $223.87 Median $323.59 Typical High $501.19 | Facility | None | $223.87 | $323.59 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $537.03 | Professional | None | $251.19 | $363.08 | $537.03 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $660.69 | Facility | None | $281.84 | $316.23 | $660.69 |
Select Health Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $316.23 | Professional | None | $223.87 | $275.42 | $316.23 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $10,000.00 | Facility | None | $1,479.11 | $3,548.13 | $10,000.00 |
United Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $602.56 | Professional | None | $239.88 | $363.08 | $602.56 |
1 more rate 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 78 · Unplanned return to OR Typical Low $158.49 Median $199.53 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $158.49 | $199.53 | $218.78 |
Where Colorado sits
The same service costs 5.0 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· 20th of 51
$372
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.