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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,318.26 | Professional | None | $1,071.52 | $1,071.52 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $9,332.54 Median $14,791.08 Typical High $21,379.62 | Facility | None | $9,332.54 | $14,791.08 | $21,379.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,737.80 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,737.80 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $4,570.88 Typical High $7,079.46 | Facility | None | $758.58 | $4,570.88 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,318.26 | $1,819.70 |
Denver HMP Setting Facility Modifier None Typical Low $1,071.52 Median $1,348.96 Typical High $2,238.72 | Facility | None | $1,071.52 | $1,348.96 | $2,238.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,995.26 | Professional | None | $977.24 | $1,318.26 | $1,995.26 |
Select Health Setting Facility Modifier None Typical Low $977.24 Median $1,995.26 Typical High $6,165.95 | Facility | None | $977.24 | $1,995.26 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,479.11 | Professional | None | $977.24 | $1,096.48 | $1,479.11 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,918.31 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,918.31 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,047.13 | $1,380.38 | $2,137.96 |
4 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 $794.33 Median $794.33 Typical High $794.33 | Professional | 54 · Surgery only | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 56 · Pre-op care only | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 78 · Unplanned return to OR | $741.31 | $741.31 | $741.31 |
Where Colorado sits
The same service costs 7.6 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· 13th of 51
$1,738
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.