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 $1,778.28 Median $5,248.07 Typical High $10,964.78 | Facility | None | $1,778.28 | $5,248.07 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,187.76 Typical High $2,884.03 | Professional | None | $2,041.74 | $2,187.76 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,079.46 Typical High $13,182.57 | Facility | None | $4,786.30 | $7,079.46 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $3,311.31 Typical High $4,570.88 | Professional | None | $2,454.71 | $3,311.31 | $4,570.88 |
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 $2,187.76 Median $2,691.53 Typical High $3,890.45 | Professional | None | $2,187.76 | $2,691.53 | $3,890.45 |
Denver HMP Setting Facility Modifier None Typical Low $2,187.76 Median $2,754.23 Typical High $5,128.61 | Facility | None | $2,187.76 | $2,754.23 | $5,128.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,238.72 | $2,884.03 | $4,570.88 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $4,073.80 Typical High $4,365.16 | Facility | None | $2,041.74 | $4,073.80 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,819.70 | $2,137.96 | $3,311.31 |
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 $2,137.96 Median $2,754.23 Typical High $4,365.16 | Professional | None | $2,137.96 | $2,754.23 | $4,365.16 |
4 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 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,548.82 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,548.82 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $1,096.48 Median $1,380.38 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,096.48 | $1,380.38 | $2,290.87 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $354.81 Typical High $588.84 | Professional | 80 · Assistant surgeon | $281.84 | $354.81 | $588.84 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $309.03 Typical High $501.19 | Professional | AS · PA/NP assist | $245.47 | $309.03 | $501.19 |
Where Colorado sits
The same service costs 21.9 times more in Alaska than in Texas. 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· 20th of 51
$3,020
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.