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 $2,570.40 Median $5,495.41 Typical High $8,912.51 | Facility | None | $2,570.40 | $5,495.41 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $251.19 | Professional | None | $128.82 | $147.91 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $309.03 | Professional | None | $144.54 | $186.21 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $2,691.53 Typical High $2,691.53 | Facility | None | $645.65 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $213.80 | Professional | None | $104.71 | $154.88 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $251.19 | Facility | None | $134.90 | $147.91 | $251.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $218.78 | Professional | None | $109.65 | $141.25 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $77.62 Median $109.65 Typical High $158.49 | Professional | None | $77.62 | $109.65 | $158.49 |
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 $74.13 Median $141.25 Typical High $229.09 | Professional | None | $74.13 | $141.25 | $229.09 |
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 $95.50 Median $112.20 Typical High $123.03 | Professional | 54 · Surgery only | $95.50 | $112.20 | $123.03 |
Where Colorado sits
The same service costs 4.8 times more in Indiana 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· 26th of 51
$182
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.