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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,238.72 Typical High $6,025.60 | Professional | None | $2,187.76 | $2,238.72 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,187.76 | $2,884.03 | $4,570.88 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $2,344.23 Typical High $4,786.30 | Facility | None | $676.08 | $2,344.23 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $3,019.95 Typical High $4,073.80 | Professional | None | $2,187.76 | $3,019.95 | $4,073.80 |
Denver HMP Setting Facility Modifier None Typical Low $2,238.72 Median $2,691.53 Typical High $4,677.35 | Facility | None | $2,238.72 | $2,691.53 | $4,677.35 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $3,890.45 | Professional | None | $1,778.28 | $2,630.27 | $3,890.45 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $3,890.45 | Facility | None | $1,862.09 | $3,715.35 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,288.25 | $1,288.25 | $1,862.09 |
United Setting Facility Modifier None Typical Low $645.65 Median $1,380.38 Typical High $7,762.47 | Facility | None | $645.65 | $1,380.38 | $7,762.47 |
United Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $5,011.87 | Professional | None | $2,454.71 | $3,235.94 | $5,011.87 |
2 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 $1,621.81 Median $1,698.24 Typical High $2,238.72 | Professional | 54 · Surgery only | $1,621.81 | $1,698.24 | $2,238.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $1,584.89 Typical High $2,089.30 | Professional | 78 · Unplanned return to OR | $1,513.56 | $1,584.89 | $2,089.30 |
Where Colorado sits
The same service costs 5.5 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· 15th of 51
$3,388
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.