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 $1,148.15 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,148.15 | $3,388.44 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $173.78 | Professional | None | $114.82 | $117.49 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $173.78 Typical High $239.88 | Professional | None | $128.82 | $173.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,290.87 Typical High $2,691.53 | Facility | None | $588.84 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $151.36 Typical High $208.93 | Professional | None | $123.03 | $151.36 | $208.93 |
Denver HMP Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $257.04 | Facility | None | $117.49 | $151.36 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $229.09 | Professional | None | $120.23 | $144.54 | $229.09 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $218.78 | Facility | None | $83.18 | $102.33 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $165.96 | Professional | None | $95.50 | $112.20 | $165.96 |
United Setting Facility Modifier None Typical Low $660.69 Median $1,412.54 Typical High $4,897.79 | Facility | None | $660.69 | $1,412.54 | $4,897.79 |
United Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $239.88 | Professional | None | $120.23 | $151.36 | $239.88 |
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 54 · Surgery only Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | 54 · Surgery only | $87.10 | $87.10 | $107.15 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $60.26 Median $74.13 Typical High $114.82 | Professional | 62 · Two surgeons | $60.26 | $74.13 | $114.82 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $18.62 Typical High $31.62 | Professional | 80 · Assistant surgeon | $15.49 | $18.62 | $31.62 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $16.22 Typical High $25.70 | Professional | AS · PA/NP assist | $13.49 | $16.22 | $25.70 |
Where Colorado sits
The same service costs 4.9 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· 22nd of 51
$158
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.