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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $151.36 | Professional | None | $79.43 | $79.43 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $416.87 | Facility | None | $141.25 | $154.88 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $457.09 | Professional | None | $131.83 | $194.98 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $208.93 | Facility | None | $69.18 | $102.33 | $208.93 |
Denver HMP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $190.55 Typical High $302.00 | Professional | None | $109.65 | $190.55 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $309.03 | Facility | None | $147.91 | $269.15 | $309.03 |
Select Health Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $288.40 | Professional | None | $154.88 | $257.04 | $288.40 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $239.88 | Professional | None | $112.20 | $154.88 | $239.88 |
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 $39.81 Median $39.81 Typical High $75.86 | Professional | 52 · Reduced service | $39.81 | $39.81 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $30.20 | Professional | 53 · Discontinued | $15.85 | $15.85 | $30.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | 55 · Aftercare only | $12.02 | $12.02 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $7.94 Typical High $15.14 | Professional | 56 · Pre-op care only | $7.94 | $7.94 | $15.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.50 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $19.50 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $144.54 | $144.54 | $144.54 |
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· 43rd of 51
$155
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.