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 $162.18 Median $758.58 Typical High $1,258.93 | Professional | None | $162.18 | $758.58 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $9,332.54 | Facility | None | $3,715.35 | $5,248.07 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $630.96 Typical High $1,584.89 | Professional | None | $199.53 | $630.96 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,659.59 | Facility | None | $524.81 | $977.24 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $436.52 Typical High $1,288.25 | Professional | None | $208.93 | $436.52 | $1,288.25 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $389.05 Typical High $1,230.27 | Facility | None | $162.18 | $389.05 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $512.86 Typical High $1,348.96 | Professional | None | $158.49 | $512.86 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $288.40 Median $1,000.00 Typical High $1,659.59 | Facility | None | $288.40 | $1,000.00 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $281.84 Typical High $1,548.82 | Professional | None | $100.00 | $281.84 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78 | Facility | None | $1,288.25 | $2,511.89 | $7,585.78 |
United Setting Professional Modifier None Typical Low $208.93 Median $724.44 Typical High $1,445.44 | Professional | None | $208.93 | $724.44 | $1,445.44 |
1 more rate 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 $123.03 Median $501.19 Typical High $602.56 | Professional | 54 · Surgery only | $123.03 | $501.19 | $602.56 |
Where Colorado sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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· 8th of 51
$977
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.