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 $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,288.25 | $1,621.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $16,982.44 Typical High $25,118.86 | Facility | None | $10,715.19 | $16,982.44 | $25,118.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $3,090.30 | Professional | None | $1,479.11 | $2,089.30 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $11,748.98 Typical High $19,498.45 | Facility | None | $758.58 | $11,748.98 | $19,498.45 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,584.89 | $2,238.72 |
Denver HMP Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,288.25 | $1,621.81 | $2,691.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,174.90 Median $1,584.89 Typical High $2,398.83 | Professional | None | $1,174.90 | $1,584.89 | $2,398.83 |
Select Health Setting Facility Modifier None Typical Low $1,174.90 Median $2,398.83 Typical High $14,125.38 | Facility | None | $1,174.90 | $2,398.83 | $14,125.38 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,778.28 | Professional | None | $1,174.90 | $1,348.96 | $1,778.28 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $7,079.46 Typical High $15,488.17 | Facility | None | $2,511.89 | $7,079.46 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,659.59 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,659.59 | $2,630.27 |
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 $954.99 Median $954.99 Typical High $977.24 | Professional | 54 · Surgery only | $954.99 | $954.99 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $891.25 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $891.25 | $891.25 | $912.01 |
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· 13th of 51
$2,089
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.