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 $1,513.56 Median $3,548.13 Typical High $9,120.11 | Facility | None | $1,513.56 | $3,548.13 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $2,137.96 Typical High $3,162.28 | Professional | None | $229.09 | $2,137.96 | $3,162.28 |
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 $281.84 Median $1,258.93 Typical High $5,128.61 | Professional | None | $281.84 | $1,258.93 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,621.81 Typical High $5,248.07 | Facility | None | $1,000.00 | $1,621.81 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $549.54 Typical High $3,890.45 | Professional | None | $275.42 | $549.54 | $3,890.45 |
Denver HMP Setting Facility Modifier None Typical Low $229.09 Median $549.54 Typical High $3,981.07 | Facility | None | $229.09 | $549.54 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $870.96 Typical High $4,168.69 | Professional | None | $223.87 | $870.96 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $407.38 Median $1,659.59 Typical High $5,370.32 | Facility | None | $407.38 | $1,659.59 | $5,370.32 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $398.11 Typical High $4,897.79 | Professional | None | $141.25 | $398.11 | $4,897.79 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,412.54 Typical High $5,011.87 | Facility | None | $676.08 | $1,412.54 | $5,011.87 |
United Setting Professional Modifier None Typical Low $281.84 Median $1,348.96 Typical High $4,168.69 | Professional | None | $281.84 | $1,348.96 | $4,168.69 |
2 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 $169.82 Median $1,412.54 Typical High $1,778.28 | Professional | 54 · Surgery only | $169.82 | $1,412.54 | $1,778.28 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $158.49 Median $1,318.26 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $158.49 | $1,318.26 | $1,659.59 |
Where Colorado sits
The same service costs 7.1 times more in Oregon than in Texas. 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· 6th of 51
$2,399
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.