How much rates vary
Facilitymedian $14,454 · 10th to 90th $2,754 to $25,704Professionalmedian $1,230 · 10th to 90th $832 to $1,950
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 $2,187.76 Median $3,801.89 Typical High $10,964.78 | Facility | None | $2,187.76 | $3,801.89 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $851.14 Typical High $2,187.76 | Professional | None | $758.58 | $851.14 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $11,481.54 Median $16,982.44 Typical High $38,904.51 | Facility | None | $11,481.54 | $16,982.44 | $38,904.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $1,995.26 | Professional | None | $977.24 | $1,380.38 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $6,760.83 Typical High $9,772.37 | Facility | None | $1,778.28 | $6,760.83 | $9,772.37 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,621.81 | Professional | None | $912.01 | $1,230.27 | $1,621.81 |
Denver HMP Setting Facility Modifier None Typical Low $758.58 Median $1,071.52 Typical High $1,479.11 | Facility | None | $758.58 | $1,071.52 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,047.13 Typical High $1,862.09 | Professional | None | $741.31 | $1,047.13 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,479.11 Typical High $8,511.38 | Facility | None | $741.31 | $1,479.11 | $8,511.38 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $1,445.44 | Professional | None | $512.86 | $741.31 | $1,445.44 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $6,918.31 Typical High $15,488.17 | Facility | None | $2,511.89 | $6,918.31 | $15,488.17 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Professional | None | $954.99 | $1,288.25 | $1,905.46 |
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 $575.44 Median $575.44 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $575.44 | $691.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $645.65 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $645.65 |
Where Colorado sits
The same service costs 6.1 times more in Colorado than in Montana. 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.
Physician feeFacility fee
CO $15,685MT $2,577
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.