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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $660.69 | Professional | None | $467.74 | $501.19 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $549.54 Median $741.31 Typical High $1,023.29 | Professional | None | $549.54 | $741.31 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $4,168.69 Typical High $5,754.40 | Facility | None | $1,230.27 | $4,168.69 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $831.76 | Professional | None | $501.19 | $602.56 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $645.65 Typical High $1,023.29 | Facility | None | $501.19 | $645.65 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $912.01 | Professional | None | $446.68 | $575.44 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $812.83 Typical High $5,011.87 | Facility | None | $407.38 | $812.83 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $776.25 | Professional | None | $407.38 | $489.78 | $776.25 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $954.99 | Professional | None | $489.78 | $616.60 | $954.99 |
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 $354.81 Median $380.19 Typical High $436.52 | Professional | 54 · Surgery only | $354.81 | $380.19 | $436.52 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $234.42 Median $295.12 Typical High $501.19 | Professional | 62 · Two surgeons | $234.42 | $295.12 | $501.19 |
Where Colorado sits
The same service costs 4.6 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· 18th of 51
$692
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.