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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | None | $48.98 | $48.98 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $257.04 | Facility | None | $85.11 | $93.33 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $144.54 | Professional | None | $43.65 | $53.70 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | None | $45.71 | $45.71 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $107.15 | Facility | None | $28.18 | $48.98 | $107.15 |
Denver HMP Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $177.83 | Professional | None | $67.61 | $114.82 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $165.96 Typical High $186.21 | Facility | None | $89.13 | $165.96 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $120.23 | Professional | None | $63.10 | $89.13 | $120.23 |
United Setting Facility Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Facility | None | $56.23 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $66.07 | Professional | None | $39.81 | $43.65 | $66.07 |
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 $24.55 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $24.55 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $9.77 | $9.77 | $11.22 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $8.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.62 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $5.25 | $53.70 | $53.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | UE · Used equipment | $39.81 | $39.81 | $39.81 |
Where Colorado sits
The same service costs 3.2 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· 49th of 51
$48.98
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.