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 $38.90 Median $75.86 Typical High $954.99 | Professional | None | $38.90 | $75.86 | $954.99 |
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 $48.98 Median $89.13 Typical High $151.36 | Professional | None | $48.98 | $89.13 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $208.93 | Facility | None | $50.12 | $66.07 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $125.89 | Professional | None | $47.86 | $74.13 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $117.49 | Facility | None | $38.90 | $75.86 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $74.13 Typical High $131.83 | Professional | None | $37.15 | $74.13 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $75.86 Typical High $162.18 | Facility | None | $67.61 | $75.86 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $23.44 Median $66.07 Typical High $151.36 | Professional | None | $23.44 | $66.07 | $151.36 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $47.86 Median $77.62 Typical High $144.54 | Professional | None | $47.86 | $77.62 | $144.54 |
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 $29.51 Median $51.29 Typical High $57.54 | Professional | 54 · Surgery only | $29.51 | $51.29 | $57.54 |
Where Colorado sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 11th of 51
$95.50
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.