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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,412.54 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,884.03 Typical High $7,943.28 | Facility | None | $2,630.27 | $2,884.03 | $7,943.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $1,995.26 | Professional | None | $1,122.02 | $1,584.89 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,090.30 | Facility | None | $758.58 | $1,513.56 | $3,090.30 |
Denver HMP Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $5,248.07 | Professional | None | $1,905.46 | $3,548.13 | $5,248.07 |
Select Health Setting Facility Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $5,754.40 | Facility | None | $2,754.23 | $5,128.61 | $5,754.40 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,754.23 Typical High $3,467.37 | Professional | None | $1,905.46 | $2,754.23 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,584.89 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,174.90 | $1,778.28 |
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 $707.95 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $707.95 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $281.84 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $213.80 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $141.25 | $151.36 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $165.96 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $165.96 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,230.27 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,230.27 |
Where Colorado sits
The same service costs 3.1 times more in Hawaii than in Delaware. 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· 27th of 51
$1,514
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.