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 $2,238.72 Median $2,344.23 Typical High $6,025.60 | Professional | None | $2,238.72 | $2,344.23 | $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 $2,238.72 Median $2,951.21 Typical High $4,677.35 | Professional | None | $2,238.72 | $2,951.21 | $4,677.35 |
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 $2,290.87 Median $3,090.30 Typical High $4,168.69 | Professional | None | $2,290.87 | $3,090.30 | $4,168.69 |
Denver HMP Setting Facility Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $4,786.30 | Facility | None | $2,344.23 | $2,754.23 | $4,786.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $2,691.53 Typical High $4,073.80 | Professional | None | $1,819.70 | $2,691.53 | $4,073.80 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,890.45 Typical High $4,073.80 | Facility | None | $1,905.46 | $3,890.45 | $4,073.80 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
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 $2,570.40 Median $3,388.44 Typical High $5,248.07 | Professional | None | $2,570.40 | $3,388.44 | $5,248.07 |
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 $1,698.24 Median $1,737.80 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,698.24 | $1,737.80 | $2,344.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,584.89 Median $1,621.81 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,584.89 | $1,621.81 | $2,187.76 |
Where Colorado sits
The same service costs 5.2 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
$3,548
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.