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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,380.38 | Professional | None | $1,288.25 | $1,288.25 | $1,380.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $6,760.83 | Facility | None | $2,238.72 | $2,511.89 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $954.99 Median $1,380.38 Typical High $3,467.37 | Professional | None | $954.99 | $1,380.38 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,698.24 | Professional | None | $1,230.27 | $1,230.27 | $1,698.24 |
Denver HMP Setting Facility Modifier None Typical Low $741.31 Median $1,288.25 Typical High $2,951.21 | Facility | None | $741.31 | $1,288.25 | $2,951.21 |
Denver HMP Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,659.59 Median $3,090.30 Typical High $4,677.35 | Professional | None | $1,659.59 | $3,090.30 | $4,677.35 |
Select Health Setting Facility Modifier None Typical Low $2,344.23 Median $4,365.16 Typical High $4,897.79 | Facility | None | $2,344.23 | $4,365.16 | $4,897.79 |
Select Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,344.23 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,023.29 | $1,148.15 | $1,698.24 |
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 $645.65 Median $645.65 Typical High $691.83 | Professional | 52 · Reduced service | $645.65 | $645.65 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | 53 · Discontinued | $257.04 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $138.04 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $1,380.38 Typical High $1,380.38 | Professional | RR · Rental | $138.04 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,047.13 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Arizona. 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· 41st of 51
$1,288
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.