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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | None | $77.62 | $77.62 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $407.38 | Facility | None | $134.90 | $147.91 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $181.97 | Professional | None | $54.95 | $83.18 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $87.10 | Professional | None | $63.10 | $63.10 | $87.10 |
Denver HMP Setting Facility Modifier None Typical Low $44.67 Median $83.18 Typical High $177.83 | Facility | None | $44.67 | $83.18 | $177.83 |
Denver HMP Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $181.97 Typical High $281.84 | Professional | None | $104.71 | $181.97 | $281.84 |
Select Health Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $295.12 | Facility | None | $141.25 | $263.03 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $194.98 | Professional | None | $97.72 | $141.25 | $194.98 |
United Setting Facility Modifier None Typical Low $39.81 Median $69.18 Typical High $69.18 | Facility | None | $39.81 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $104.71 | Professional | None | $61.66 | $69.18 | $104.71 |
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 $38.90 Median $38.90 Typical High $42.66 | Professional | 52 · Reduced service | $38.90 | $38.90 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.98 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $12.88 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $8.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.32 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $8.32 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Where Colorado sits
The same service costs 2.5 times more in Arkansas 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· 44th of 51
$77.62
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.