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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None | $60.26 | $60.26 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $316.23 | Facility | None | $104.71 | $117.49 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $147.91 | Professional | None | $45.71 | $64.57 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | None | $54.95 | $54.95 | $75.86 |
Denver HMP Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $134.90 | Facility | None | $34.67 | $60.26 | $134.90 |
Denver HMP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $218.78 | Professional | None | $83.18 | $141.25 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $147.91 | Professional | None | $85.11 | $109.65 | $147.91 |
United Setting Facility Modifier None Typical Low $69.18 Median $72.44 Typical High $72.44 | Facility | None | $69.18 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $81.28 | Professional | None | $48.98 | $53.70 | $81.28 |
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 $30.20 Median $30.20 Typical High $33.88 | Professional | 52 · Reduced service | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $12.02 | $12.02 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.12 Typical High $10.00 | Professional | 55 · Aftercare only | $9.12 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.76 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $6.46 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Colorado sits
The same service costs 3.1 times more in Hawaii than in New Jersey. 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· 45th of 51
$60.26
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.