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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $380.19 | Professional | None | $309.03 | $354.81 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $1,862.09 | Facility | None | $616.60 | $676.08 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $354.81 Typical High $758.58 | Professional | None | $269.15 | $354.81 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $616.60 | Facility | None | $380.19 | $380.19 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $616.60 | Professional | None | $275.42 | $275.42 | $616.60 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $354.81 Typical High $794.33 | Facility | None | $186.21 | $354.81 | $794.33 |
Denver HMP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,230.27 | Professional | None | $446.68 | $831.76 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $645.65 Median $1,174.90 Typical High $1,348.96 | Facility | None | $645.65 | $1,174.90 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $794.33 | Professional | None | $489.78 | $645.65 | $794.33 |
United Setting Facility Modifier None Typical Low $389.05 Median $467.74 Typical High $467.74 | Facility | None | $389.05 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $436.52 | Professional | None | $263.03 | $288.40 | $436.52 |
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 $177.83 Median $177.83 Typical High $190.55 | Professional | 52 · Reduced service | $177.83 | $177.83 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $35.48 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $263.03 | $263.03 | $263.03 |
Where Colorado sits
The same service costs 3.7 times more in Hawaii 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· 37th of 51
$355
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.