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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $181.97 | Professional | None | $95.50 | $95.50 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $512.86 | Facility | None | $169.82 | $186.21 | $512.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $269.15 Typical High $549.54 | Professional | None | $165.96 | $269.15 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $83.18 Median $123.03 Typical High $251.19 | Facility | None | $83.18 | $123.03 | $251.19 |
Denver HMP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $229.09 Typical High $354.81 | Professional | None | $131.83 | $229.09 | $354.81 |
Select Health Setting Facility Modifier None Typical Low $177.83 Median $323.59 Typical High $371.54 | Facility | None | $177.83 | $323.59 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $186.21 Median $309.03 Typical High $346.74 | Professional | None | $186.21 | $309.03 | $346.74 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
United Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $295.12 | Professional | None | $134.90 | $186.21 | $295.12 |
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 $47.86 Median $47.86 Typical High $91.20 | Professional | 52 · Reduced service | $47.86 | $47.86 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $36.31 | Professional | 53 · Discontinued | $19.50 | $19.50 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $27.54 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $9.55 Typical High $18.20 | Professional | 56 · Pre-op care only | $9.55 | $9.55 | $18.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $239.88 Typical High $239.88 | Professional | RR · Rental | $26.92 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $177.83 | $177.83 | $177.83 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 46th of 51
$195
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.