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 $691.83 Median $3,235.94 Typical High $10,715.19 | Facility | None | $691.83 | $3,235.94 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $549.54 | Professional | None | $398.11 | $416.87 | $549.54 |
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 $467.74 Median $616.60 Typical High $870.96 | Professional | None | $467.74 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $724.44 | Professional | None | $426.58 | $524.81 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $416.87 Median $524.81 Typical High $602.56 | Facility | None | $416.87 | $524.81 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $851.14 | Professional | None | $446.68 | $537.03 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $812.83 | Facility | None | $309.03 | $389.05 | $812.83 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $630.96 | Professional | None | $338.84 | $398.11 | $630.96 |
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 $416.87 Median $524.81 Typical High $831.76 | Professional | None | $416.87 | $524.81 | $831.76 |
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 $302.00 Median $309.03 Typical High $371.54 | Professional | 54 · Surgery only | $302.00 | $309.03 | $371.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $288.40 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $281.84 | $288.40 | $346.74 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $208.93 Median $257.04 Typical High $426.58 | Professional | 62 · Two surgeons | $208.93 | $257.04 | $426.58 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | 80 · Assistant surgeon | $52.48 | $64.57 | $109.65 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $56.23 Typical High $89.13 | Professional | AS · PA/NP assist | $45.71 | $56.23 | $89.13 |
Where Colorado sits
The same service costs 4.4 times more in Alaska 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· 21st of 51
$575
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.