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 $112.20 Median $3,235.94 Typical High $8,709.64 | Facility | None | $112.20 | $3,235.94 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $112.20 Typical High $173.78 | Professional | None | $28.84 | $112.20 | $173.78 |
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 $34.67 Median $48.98 Typical High $72.44 | Professional | None | $34.67 | $48.98 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $1,659.59 | Facility | None | $123.03 | $208.93 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $128.82 Typical High $204.17 | Professional | None | $35.48 | $128.82 | $204.17 |
Denver HMP Setting Facility Modifier None Typical Low $28.84 Median $69.18 Typical High $190.55 | Facility | None | $28.84 | $69.18 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $83.18 Typical High $208.93 | Professional | None | $30.90 | $83.18 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $147.91 Typical High $257.04 | Facility | None | $52.48 | $147.91 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $123.03 | Professional | None | $28.84 | $33.88 | $123.03 |
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 $35.48 Median $117.49 Typical High $223.87 | Professional | None | $35.48 | $117.49 | $223.87 |
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 $21.38 Median $70.79 Typical High $85.11 | Professional | 54 · Surgery only | $21.38 | $70.79 | $85.11 |
Where Colorado sits
The same service costs 5.1 times more in Iowa 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· 44th of 51
$70.79
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.