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 $2,511.89 Median $2,570.40 Typical High $6,025.60 | Professional | None | $2,511.89 | $2,570.40 | $6,025.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $9,332.54 Typical High $16,218.10 | Facility | None | $5,888.44 | $9,332.54 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $5,128.61 | Professional | None | $2,454.71 | $3,235.94 | $5,128.61 |
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 $2,691.53 Median $3,467.37 Typical High $4,570.88 | Professional | None | $2,691.53 | $3,467.37 | $4,570.88 |
Denver HMP Setting Facility Modifier None Typical Low $2,570.40 Median $3,311.31 Typical High $5,128.61 | Facility | None | $2,570.40 | $3,311.31 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $4,365.16 | Professional | None | $1,949.84 | $2,884.03 | $4,365.16 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $4,168.69 Typical High $4,365.16 | Facility | None | $2,041.74 | $4,168.69 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,041.74 | Professional | None | $1,445.44 | $1,445.44 | $2,041.74 |
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 $2,884.03 Median $3,801.89 Typical High $5,888.44 | Professional | None | $2,884.03 | $3,801.89 | $5,888.44 |
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 $1,862.09 Median $1,949.84 Typical High $2,630.27 | Professional | 54 · Surgery only | $1,862.09 | $1,949.84 | $2,630.27 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $1,819.70 Typical High $2,454.71 | Professional | 78 · Unplanned return to OR | $1,737.80 | $1,819.70 | $2,454.71 |
Where Colorado sits
The same service costs 6.5 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· 13th of 51
$3,890
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.