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 $954.99 Median $3,311.31 Typical High $8,709.64 | Facility | None | $954.99 | $3,311.31 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $128.82 Typical High $208.93 | Professional | None | $30.20 | $128.82 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $131.83 Typical High $288.40 | Professional | None | $38.90 | $131.83 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $107.15 Typical High $302.00 | Professional | None | $35.48 | $107.15 | $302.00 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $89.13 Typical High $239.88 | Facility | None | $30.20 | $89.13 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $102.33 Typical High $269.15 | Professional | None | $32.36 | $102.33 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $138.04 Typical High $288.40 | Facility | None | $51.29 | $138.04 | $288.40 |
Select Health Setting Professional Modifier None Typical Low $23.44 Median $43.65 Typical High $138.04 | Professional | None | $23.44 | $43.65 | $138.04 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $2,754.23 | Facility | None | $758.58 | $1,513.56 | $2,754.23 |
United Setting Professional Modifier None Typical Low $33.11 Median $134.90 Typical High $295.12 | Professional | None | $33.11 | $134.90 | $295.12 |
3 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 $22.39 Median $91.20 Typical High $112.20 | Professional | 54 · Surgery only | $22.39 | $91.20 | $112.20 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.01 Median $22.91 Typical High $46.77 | Professional | 80 · Assistant surgeon | $5.01 | $22.91 | $46.77 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $19.50 Typical High $40.74 | Professional | AS · PA/NP assist | $4.47 | $19.50 | $40.74 |
Where Colorado sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 19th of 51
$151
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.