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 $489.78 Median $3,235.94 Typical High $10,715.19 | Facility | None | $489.78 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $562.34 | Professional | None | $371.54 | $389.05 | $562.34 |
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 $436.52 Median $588.84 Typical High $812.83 | Professional | None | $436.52 | $588.84 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $691.83 | Professional | None | $398.11 | $489.78 | $691.83 |
Denver HMP Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $575.44 | Facility | None | $389.05 | $489.78 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $794.33 | Professional | None | $416.87 | $512.86 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $758.58 | Facility | None | $288.40 | $363.08 | $758.58 |
Select Health Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $588.84 | Professional | None | $323.59 | $380.19 | $588.84 |
United Setting Facility Modifier None Typical Low $9,332.54 Median $12,022.64 Typical High $21,379.62 | Facility | None | $9,332.54 | $12,022.64 | $21,379.62 |
United Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $776.25 | Professional | None | $389.05 | $489.78 | $776.25 |
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 $281.84 Median $288.40 Typical High $346.74 | Professional | 54 · Surgery only | $281.84 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $269.15 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $263.03 | $269.15 | $323.59 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $213.80 Median $257.04 Typical High $398.11 | Professional | 62 · Two surgeons | $213.80 | $257.04 | $398.11 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $66.07 Typical High $102.33 | Professional | 80 · Assistant surgeon | $54.95 | $66.07 | $102.33 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $57.54 Typical High $83.18 | Professional | AS · PA/NP assist | $47.86 | $57.54 | $83.18 |
Where Colorado sits
The same service costs 4.2 times more in Wyoming than in Utah. 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· 22nd of 51
$537
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.