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 $1,479.11 Median $3,715.35 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,715.35 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $812.83 | Professional | None | $501.19 | $707.95 | $812.83 |
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 $707.95 Median $954.99 Typical High $1,318.26 | Professional | None | $707.95 | $954.99 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $10,471.29 Typical High $19,054.61 | Facility | None | $1,778.28 | $10,471.29 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,230.27 | Professional | None | $645.65 | $831.76 | $1,230.27 |
Denver HMP Setting Facility Modifier None Typical Low $630.96 Median $707.95 Typical High $1,000.00 | Facility | None | $630.96 | $707.95 | $1,000.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $977.24 | Professional | None | $489.78 | $616.60 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $891.25 Typical High $16,595.87 | Facility | None | $446.68 | $891.25 | $16,595.87 |
Select Health Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $870.96 | Professional | None | $446.68 | $446.68 | $870.96 |
United Setting Facility Modifier None Typical Low $4,570.88 Median $10,000.00 Typical High $22,387.21 | Facility | None | $4,570.88 | $10,000.00 | $22,387.21 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,445.44 | Professional | None | $467.74 | $645.65 | $1,445.44 |
5 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 $371.54 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $371.54 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $346.74 | $489.78 | $489.78 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $128.82 Median $602.56 Typical High $977.24 | Professional | 62 · Two surgeons | $128.82 | $602.56 | $977.24 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $154.88 Typical High $251.19 | Professional | 80 · Assistant surgeon | $33.11 | $154.88 | $251.19 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $134.90 Typical High $213.80 | Professional | AS · PA/NP assist | $28.84 | $134.90 | $213.80 |
Where Colorado sits
The same service costs 8.3 times more in South Dakota than in Kentucky. 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· 19th of 51
$891
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.