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 $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $954.99 | Professional | None | $933.25 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $5,011.87 | Facility | None | $1,659.59 | $1,819.70 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $2,238.72 | Professional | None | $676.08 | $912.01 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Professional | None | $691.83 | $691.83 | $933.25 |
Denver HMP Setting Facility Modifier None Typical Low $489.78 Median $954.99 Typical High $2,041.74 | Facility | None | $489.78 | $954.99 | $2,041.74 |
Denver HMP Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $2,238.72 Typical High $3,311.31 | Professional | None | $1,230.27 | $2,238.72 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $3,630.78 | Facility | None | $1,737.80 | $3,235.94 | $3,630.78 |
Select Health Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,737.80 | $2,454.71 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,122.02 | Professional | None | $676.08 | $758.58 | $1,122.02 |
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 $457.09 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $457.09 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $186.21 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $138.04 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $93.33 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $91.20 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $91.20 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $691.83 | $691.83 | $691.83 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in Delaware. 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
$955
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.