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 $218.78 Median $3,235.94 Typical High $9,120.11 | Facility | None | $218.78 | $3,235.94 | $9,120.11 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $371.54 | Professional | None | $134.90 | $204.17 | $371.54 |
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 $190.55 Median $309.03 Typical High $524.81 | Professional | None | $190.55 | $309.03 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $1,659.59 | Facility | None | $213.80 | $331.13 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $389.05 | Professional | None | $144.54 | $239.88 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $323.59 | Facility | None | $141.25 | $204.17 | $323.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $426.58 | Professional | None | $154.88 | $251.19 | $426.58 |
Select Health Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $489.78 | Facility | None | $229.09 | $257.04 | $489.78 |
Select Health Setting Professional Modifier None Typical Low $89.13 Median $229.09 Typical High $316.23 | Professional | None | $89.13 | $229.09 | $316.23 |
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 $154.88 Median $251.19 Typical High $446.68 | Professional | None | $154.88 | $251.19 | $446.68 |
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 $107.15 Median $147.91 Typical High $165.96 | Professional | 54 · Surgery only | $107.15 | $147.91 | $165.96 |
Where Colorado sits
The same service costs 4.2 times more in Alaska 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· 9th of 51
$309
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.