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 $3,715.35 Typical High $10,715.19 | Facility | None | $1,778.28 | $3,715.35 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $1,778.28 Typical High $2,754.23 | Professional | None | $173.78 | $1,778.28 | $2,754.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $13,182.57 Typical High $24,547.09 | Facility | None | $10,715.19 | $13,182.57 | $24,547.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $1,348.96 Typical High $3,630.78 | Professional | None | $199.53 | $1,348.96 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,365.16 Typical High $6,760.83 | Facility | None | $1,778.28 | $4,365.16 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $3,090.30 | Professional | None | $204.17 | $426.58 | $3,090.30 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $380.19 Typical High $3,019.95 | Facility | None | $186.21 | $380.19 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $616.60 Typical High $2,818.38 | Professional | None | $147.91 | $616.60 | $2,818.38 |
Select Health Setting Facility Modifier None Typical Low $269.15 Median $3,090.30 Typical High $5,128.61 | Facility | None | $269.15 | $3,090.30 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $263.03 Typical High $3,235.94 | Professional | None | $95.50 | $263.03 | $3,235.94 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,715.35 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,715.35 | $11,220.18 |
United Setting Professional Modifier None Typical Low $204.17 Median $1,148.15 Typical High $3,630.78 | Professional | None | $204.17 | $1,148.15 | $3,630.78 |
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 54 · Surgery only Typical Low $138.04 Median $1,071.52 Typical High $1,445.44 | Professional | 54 · Surgery only | $138.04 | $1,071.52 | $1,445.44 |
Where Colorado sits
The same service costs 10.0 times more in Alaska than in Nebraska. 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· 9th of 51
$2,291
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.