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 $645.65 Median $891.25 Typical High $933.25 | Professional | None | $645.65 | $891.25 | $933.25 |
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 $912.01 Median $1,230.27 Typical High $1,698.24 | Professional | None | $912.01 | $1,230.27 | $1,698.24 |
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 $812.83 Median $1,047.13 Typical High $1,548.82 | Professional | None | $812.83 | $1,047.13 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $891.25 Median $1,023.29 Typical High $1,778.28 | Facility | None | $891.25 | $1,023.29 | $1,778.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,445.44 | Professional | None | $758.58 | $954.99 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $1,513.56 | Facility | None | $724.44 | $1,318.26 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $1,047.13 | Professional | None | $660.69 | $724.44 | $1,047.13 |
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 $724.44 Median $1,000.00 Typical High $1,737.80 | Professional | None | $724.44 | $1,000.00 | $1,737.80 |
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 $478.63 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $478.63 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $630.96 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $446.68 | $630.96 | $630.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $134.90 Median $691.83 Typical High $954.99 | Professional | 62 · Two surgeons | $134.90 | $691.83 | $954.99 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $26.30 Median $162.18 Typical High $239.88 | Professional | 80 · Assistant surgeon | $26.30 | $162.18 | $239.88 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $134.90 Typical High $213.80 | Professional | AS · PA/NP assist | $22.91 | $134.90 | $213.80 |
Where Colorado sits
The same service costs 7.9 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· 21st of 51
$1,148
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.