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 $660.69 Typical High $758.58 | Professional | None | $501.19 | $660.69 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,585.78 Median $11,481.54 Typical High $18,620.87 | Facility | None | $7,585.78 | $11,481.54 | $18,620.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,258.93 | Professional | None | $645.65 | $870.96 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,760.83 Typical High $9,772.37 | Facility | None | $1,778.28 | $6,760.83 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,096.48 | Professional | None | $588.84 | $758.58 | $1,096.48 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $660.69 Typical High $1,318.26 | Facility | None | $602.56 | $660.69 | $1,318.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $912.01 | Professional | None | $302.00 | $537.03 | $912.01 |
Select Health Setting Facility Modifier None Typical Low $478.63 Median $977.24 Typical High $8,511.38 | Facility | None | $478.63 | $977.24 | $8,511.38 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $537.03 Typical High $537.03 | Professional | None | $239.88 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $4,265.80 Typical High $13,489.63 | Facility | None | $1,949.84 | $4,265.80 | $13,489.63 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,513.56 | Professional | None | $489.78 | $691.83 | $1,513.56 |
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 $346.74 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $346.74 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $323.59 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $134.90 Median $389.05 Typical High $891.25 | Professional | 62 · Two surgeons | $134.90 | $389.05 | $891.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $97.72 Typical High $223.87 | Professional | 80 · Assistant surgeon | $26.30 | $97.72 | $223.87 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $87.10 Typical High $194.98 | Professional | AS · PA/NP assist | $22.91 | $87.10 | $194.98 |
Where Colorado sits
The same service costs 5.9 times more in Alaska than in Hawaii. 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
$832
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.