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 $616.60 Median $758.58 Typical High $831.76 | Professional | None | $616.60 | $758.58 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,244.36 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $1,071.52 Typical High $1,479.11 | Professional | None | $812.83 | $1,071.52 | $1,479.11 |
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 $724.44 Median $891.25 Typical High $1,288.25 | Professional | None | $724.44 | $891.25 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $1,698.24 | Facility | None | $758.58 | $851.14 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,348.96 | Professional | None | $724.44 | $891.25 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,412.54 | Facility | None | $676.08 | $1,230.27 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $676.08 Typical High $977.24 | Professional | None | $616.60 | $676.08 | $977.24 |
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 $676.08 Median $891.25 Typical High $1,445.44 | Professional | None | $676.08 | $891.25 | $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 $457.09 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $457.09 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $426.58 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $426.58 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $128.82 Median $457.09 Typical High $933.25 | Professional | 62 · Two surgeons | $128.82 | $457.09 | $933.25 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $117.49 Typical High $234.42 | Professional | 80 · Assistant surgeon | $33.11 | $117.49 | $234.42 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $102.33 Typical High $208.93 | Professional | AS · PA/NP assist | $28.84 | $102.33 | $208.93 |
Where Colorado sits
The same service costs 8.5 times more in Alaska 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· 16th of 51
$1,023
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.