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 $891.25 Median $912.01 Typical High $5,495.41 | Professional | None | $891.25 | $912.01 | $5,495.41 |
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 $891.25 Median $1,174.90 Typical High $1,862.09 | Professional | None | $891.25 | $1,174.90 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,290.87 Typical High $4,786.30 | Facility | None | $645.65 | $2,290.87 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,258.93 Typical High $1,659.59 | Professional | None | $1,071.52 | $1,258.93 | $1,659.59 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,862.09 | Facility | None | $912.01 | $1,000.00 | $1,862.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,047.13 Typical High $1,548.82 | Professional | None | $707.95 | $1,047.13 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $1,548.82 | Facility | None | $741.31 | $1,479.11 | $1,548.82 |
Select Health Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $741.31 | Professional | None | $524.81 | $524.81 | $741.31 |
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 $1,148.15 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,148.15 | $1,584.89 | $2,187.76 |
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 $660.69 Median $691.83 Typical High $933.25 | Professional | 54 · Surgery only | $660.69 | $691.83 | $933.25 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in New York. 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· 5th of 51
$1,778
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.