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 $66.07 Median $89.13 Typical High $100.00 | Professional | None | $66.07 | $89.13 | $100.00 |
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 $75.86 Median $109.65 Typical High $162.18 | Professional | None | $75.86 | $109.65 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $213.80 | Facility | None | $50.12 | $66.07 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $147.91 | Professional | None | $79.43 | $100.00 | $147.91 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $165.96 | Facility | None | $66.07 | $95.50 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $158.49 | Professional | None | $75.86 | $112.20 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $194.98 | Facility | None | $72.44 | $93.33 | $194.98 |
Select Health Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $93.33 | Professional | None | $67.61 | $81.28 | $93.33 |
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 $75.86 Median $102.33 Typical High $169.82 | Professional | None | $75.86 | $102.33 | $169.82 |
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 $50.12 Median $64.57 Typical High $67.61 | Professional | 54 · Surgery only | $50.12 | $64.57 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $46.77 Median $61.66 Typical High $63.10 | Professional | 78 · Unplanned return to OR | $46.77 | $61.66 | $63.10 |
Where Colorado sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 21st of 51
$107
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.