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 $89.13 Median $89.13 Typical High $229.09 | Facility | None | $89.13 | $89.13 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $123.03 | Professional | None | $85.11 | $89.13 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $467.74 | Facility | None | $154.88 | $173.78 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $190.55 | Professional | None | $60.26 | $91.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $97.72 | Facility | None | $95.50 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None | $70.79 | $70.79 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $181.97 | Facility | None | $46.77 | $89.13 | $181.97 |
Denver HMP Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $208.93 Typical High $323.59 | Professional | None | $123.03 | $208.93 | $323.59 |
Select Health Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $338.84 | Facility | None | $162.18 | $302.00 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $204.17 | Professional | None | $114.82 | $162.18 | $204.17 |
United Setting Facility Modifier None Typical Low $79.43 Median $89.13 Typical High $89.13 | Facility | None | $79.43 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $109.65 | Professional | None | $66.07 | $72.44 | $109.65 |
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 $43.65 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $43.65 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $17.38 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | 55 · Aftercare only | $13.18 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $8.71 | $8.91 | $8.91 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $91.20 Typical High $102.33 | Professional | RR · Rental | $9.12 | $91.20 | $102.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | UE · Used equipment | $66.07 | $66.07 | $66.07 |
Where Colorado sits
The same service costs 2.8 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· 39th of 51
$89.13
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.