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 $57.54 Median $95.50 Typical High $128.82 | Professional | None | $57.54 | $95.50 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $144.54 | Professional | None | $69.18 | $97.72 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $2,290.87 Typical High $2,691.53 | Facility | None | $524.81 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $104.71 Typical High $158.49 | Professional | None | $70.79 | $104.71 | $158.49 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $95.50 Typical High $144.54 | Facility | None | $57.54 | $95.50 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $181.97 | Professional | None | $61.66 | $107.15 | $181.97 |
Select Health Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $223.87 | Facility | None | $102.33 | $107.15 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $107.15 | Professional | None | $58.88 | $67.61 | $107.15 |
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 $67.61 Median $109.65 Typical High $177.83 | Professional | None | $67.61 | $109.65 | $177.83 |
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 $43.65 Median $63.10 Typical High $72.44 | Professional | 54 · Surgery only | $43.65 | $63.10 | $72.44 |
Where Colorado sits
The same service costs 3.6 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· 29th of 51
$100
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.