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 $457.09 Median $537.03 Typical High $1,778.28 | Professional | None | $457.09 | $537.03 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $9,549.93 Typical High $16,218.10 | Facility | None | $6,165.95 | $9,549.93 | $16,218.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,122.02 | Professional | None | $537.03 | $758.58 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $6,760.83 | Facility | None | $1,778.28 | $3,311.31 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $912.01 | Professional | None | $478.63 | $645.65 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $537.03 Median $575.44 Typical High $831.76 | Facility | None | $537.03 | $575.44 | $831.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $575.44 Typical High $831.76 | Professional | None | $407.38 | $575.44 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $389.05 Median $776.25 Typical High $3,801.89 | Facility | None | $389.05 | $776.25 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $269.15 Median $489.78 Typical High $954.99 | Professional | None | $269.15 | $489.78 | $954.99 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $3,548.13 Typical High $11,220.18 | Facility | None | $1,479.11 | $3,548.13 | $11,220.18 |
United Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,047.13 | Professional | None | $512.86 | $676.08 | $1,047.13 |
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 $346.74 Median $398.11 Typical High $436.52 | Professional | 54 · Surgery only | $346.74 | $398.11 | $436.52 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | 80 · Assistant surgeon | $56.23 | $69.18 | $97.72 |
Anthem BCBS Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | AS · PA/NP assist | $50.12 | $60.26 | $85.11 |
Where Colorado sits
The same service costs 4.3 times more in Alaska than in New York. 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
$891
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.