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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | None | $1,000.00 | $1,000.00 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,905.46 Typical High $5,248.07 | Facility | None | $1,737.80 | $1,905.46 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $2,454.71 | Professional | None | $758.58 | $1,096.48 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,380.38 | Professional | None | $1,023.29 | $1,023.29 | $1,380.38 |
Denver HMP Setting Facility Modifier None Typical Low $575.44 Median $1,000.00 Typical High $2,238.72 | Facility | None | $575.44 | $1,000.00 | $2,238.72 |
Denver HMP Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $3,467.37 | Professional | None | $1,288.25 | $2,344.23 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $3,801.89 | Facility | None | $1,819.70 | $3,388.44 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $1,621.81 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,621.81 | $1,819.70 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,000.00 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $812.83 Median $891.25 Typical High $1,348.96 | Professional | None | $812.83 | $891.25 | $1,348.96 |
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 $501.19 Median $501.19 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | 53 · Discontinued | $199.53 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $109.65 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | UE · Used equipment | $812.83 | $812.83 | $812.83 |
Where Colorado sits
The same service costs 2.7 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· 41st of 51
$1,023
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.