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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $316.23 | Professional | None | $229.09 | $234.42 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $1,230.27 | Facility | None | $407.38 | $446.68 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $549.54 | Professional | None | $190.55 | $263.03 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $346.74 | Facility | None | $316.23 | $316.23 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $234.42 Typical High $512.86 | Facility | None | $134.90 | $234.42 | $512.86 |
Denver HMP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $549.54 Typical High $851.14 | Professional | None | $309.03 | $549.54 | $851.14 |
Select Health Setting Facility Modifier None Typical Low $426.58 Median $794.33 Typical High $891.25 | Facility | None | $426.58 | $794.33 | $891.25 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $549.54 | Professional | None | $316.23 | $426.58 | $549.54 |
United Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Facility | None | $245.47 | $269.15 | $269.15 |
United Setting Professional Modifier None Typical Low $186.21 Median $208.93 Typical High $316.23 | Professional | None | $186.21 | $208.93 | $316.23 |
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 $117.49 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | 55 · Aftercare only | $34.67 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | 56 · Pre-op care only | $23.44 | $23.44 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $25.12 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | UE · Used equipment | $190.55 | $190.55 | $190.55 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 42nd of 51
$234
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.