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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | None | $46.77 | $46.77 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $204.17 Typical High $204.17 | Facility | None | $186.21 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $93.33 | Professional | None | $41.69 | $53.70 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Denver HMP Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $120.23 | Facility | None | $46.77 | $60.26 | $120.23 |
Denver HMP Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $186.21 | Professional | None | $81.28 | $125.89 | $186.21 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $199.53 | Facility | None | $95.50 | $177.83 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $144.54 | Professional | None | $95.50 | $104.71 | $144.54 |
United Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $93.33 | Professional | None | $45.71 | $45.71 | $93.33 |
6 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 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 52 · Reduced service | $23.44 | $23.44 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $13.80 | Professional | 53 · Discontinued | $9.33 | $9.33 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.08 Median $7.08 Typical High $10.23 | Professional | 55 · Aftercare only | $7.08 | $7.08 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.68 Median $4.68 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.68 | $4.68 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $6.46 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | UE · Used equipment | $39.81 | $39.81 | $47.86 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 38th of 51
$54.95
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.