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 $1,659.59 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,659.59 | $1,659.59 | $2,398.83 |
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 $1,905.46 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,905.46 | $2,691.53 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $5,011.87 Typical High $7,079.46 | Facility | None | $758.58 | $5,011.87 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $2,041.74 Typical High $2,884.03 | Professional | None | $1,698.24 | $2,041.74 | $2,884.03 |
Denver HMP Setting Facility Modifier None Typical Low $1,659.59 Median $2,137.96 Typical High $3,467.37 | Facility | None | $1,659.59 | $2,137.96 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,513.56 | $2,041.74 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $1,513.56 Median $3,019.95 Typical High $6,165.95 | Facility | None | $1,513.56 | $3,019.95 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,737.80 | $2,290.87 |
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 $1,659.59 Median $2,187.76 Typical High $3,388.44 | Professional | None | $1,659.59 | $2,187.76 | $3,388.44 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 54 · Surgery only | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | 56 · Pre-op care only | $165.96 | $165.96 | $169.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 78 · Unplanned return to OR | $1,174.90 | $1,174.90 | $1,174.90 |
Where Colorado sits
The same service costs 7.8 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· 14th of 51
$2,692
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.