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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | None | $56.23 | $57.54 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $7,244.36 Typical High $14,125.38 | Facility | None | $4,786.30 | $7,244.36 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $123.03 | Professional | None | $58.88 | $77.62 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $120.23 | Professional | None | $67.61 | $87.10 | $120.23 |
Denver HMP Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $117.49 | Facility | None | $57.54 | $74.13 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $109.65 | Professional | None | $42.66 | $69.18 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $112.20 | Facility | None | $52.48 | $93.33 | $112.20 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $52.48 | Professional | None | $32.36 | $32.36 | $52.48 |
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 $70.79 Median $91.20 Typical High $151.36 | Professional | None | $70.79 | $91.20 | $151.36 |
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 $42.66 Median $43.65 Typical High $51.29 | Professional | 54 · Surgery only | $42.66 | $43.65 | $51.29 |
Where Colorado sits
The same service costs 3.5 times more in Wisconsin than in South Carolina. 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· 5th of 51
$123
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.