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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $851.14 Typical High $1,096.48 | Professional | None | $389.05 | $851.14 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $1,000.00 Typical High $1,949.84 | Professional | None | $478.63 | $1,000.00 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,412.54 Typical High $5,248.07 | Facility | None | $954.99 | $1,412.54 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $851.14 Typical High $3,388.44 | Professional | None | $436.52 | $851.14 | $3,388.44 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $933.25 Typical High $4,168.69 | Facility | None | $389.05 | $933.25 | $4,168.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $954.99 Typical High $1,659.59 | Professional | None | $467.74 | $954.99 | $1,659.59 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,230.27 Typical High $2,041.74 | Facility | None | $741.31 | $1,230.27 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $977.24 | Professional | None | $323.59 | $489.78 | $977.24 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,762.47 | Facility | None | $1,288.25 | $2,511.89 | $7,762.47 |
United Setting Professional Modifier None Typical Low $426.58 Median $912.01 Typical High $3,548.13 | Professional | None | $426.58 | $912.01 | $3,548.13 |
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 $295.12 Median $616.60 Typical High $776.25 | Professional | 54 · Surgery only | $295.12 | $616.60 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $275.42 Median $575.44 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $275.42 | $575.44 | $724.44 |
Where Colorado sits
The same service costs 4.5 times more in North Carolina than in Washington, DC. 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· 22nd of 51
$955
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.