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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $263.03 | Professional | None | $138.04 | $138.04 | $263.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $269.15 Typical High $724.44 | Facility | None | $239.88 | $269.15 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $758.58 | Professional | None | $218.78 | $331.13 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Professional | None | $281.84 | $281.84 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $363.08 | Facility | None | $120.23 | $173.78 | $363.08 |
Denver HMP Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $501.19 | Professional | None | $186.21 | $331.13 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $467.74 Typical High $524.81 | Facility | None | $251.19 | $467.74 | $524.81 |
Select Health Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $512.86 | Professional | None | $263.03 | $426.58 | $512.86 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $407.38 | Professional | None | $186.21 | $257.04 | $407.38 |
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 $69.18 Median $69.18 Typical High $131.83 | Professional | 52 · Reduced service | $69.18 | $69.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | 53 · Discontinued | $27.54 | $27.54 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | 55 · Aftercare only | $20.89 | $20.89 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $26.30 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $26.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $33.11 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
Where Colorado sits
The same service costs 3.0 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
$269
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.