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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $218.78 | Professional | None | $162.18 | $218.78 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $389.05 Median $426.58 Typical High $1,148.15 | Facility | None | $389.05 | $426.58 | $1,148.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $389.05 | Professional | None | $117.49 | $181.97 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
Denver HMP Setting Facility Modifier None Typical Low $95.50 Median $218.78 Typical High $446.68 | Facility | None | $95.50 | $218.78 | $446.68 |
Denver HMP Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $524.81 Typical High $758.58 | Professional | None | $295.12 | $524.81 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $398.11 Median $741.31 Typical High $851.14 | Facility | None | $398.11 | $741.31 | $851.14 |
Select Health Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $562.34 | Professional | None | $281.84 | $398.11 | $562.34 |
United Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $194.98 | Facility | None | $190.55 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $223.87 | Professional | None | $131.83 | $147.91 | $223.87 |
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 $85.11 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $85.11 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $33.88 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | 55 · Aftercare only | $25.70 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | 56 · Pre-op care only | $16.98 | $21.88 | $21.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $17.78 Median $181.97 Typical High $181.97 | Professional | RR · Rental | $17.78 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $131.83 | $131.83 | $131.83 |
Where Colorado sits
The same service costs 3.5 times more in Hawaii 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· 26th of 51
$191
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.