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 $74.13 Median $95.50 Typical High $95.50 | Professional | None | $74.13 | $95.50 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $501.19 | Facility | None | $169.82 | $186.21 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $169.82 | Professional | None | $51.29 | $77.62 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Professional | None | $58.88 | $58.88 | $81.28 |
Denver HMP Setting Facility Modifier None Typical Low $41.69 Median $95.50 Typical High $194.98 | Facility | None | $41.69 | $95.50 | $194.98 |
Denver HMP Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $346.74 | Professional | None | $131.83 | $223.87 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $371.54 | Facility | None | $173.78 | $323.59 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $245.47 | Professional | None | $123.03 | $173.78 | $245.47 |
United Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $85.11 | Facility | None | $79.43 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $97.72 | Professional | None | $57.54 | $64.57 | $97.72 |
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 $37.15 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $37.15 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $14.45 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.41 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.41 | $9.55 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $7.76 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Where Colorado sits
The same service costs 5.1 times more in Kansas than in Florida. 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
$81.28
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.