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 $380.19 Median $380.19 Typical High $602.56 | Facility | None | $380.19 | $380.19 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $501.19 | Professional | None | $380.19 | $380.19 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,995.26 | Facility | None | $676.08 | $741.31 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $407.38 Typical High $602.56 | Professional | None | $331.13 | $407.38 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $457.09 | Professional | None | $338.84 | $338.84 | $457.09 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $380.19 Typical High $831.76 | Facility | None | $218.78 | $380.19 | $831.76 |
Denver HMP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,412.54 | Professional | None | $489.78 | $912.01 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,479.11 | Facility | None | $691.83 | $1,288.25 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $977.24 | Professional | None | $616.60 | $691.83 | $977.24 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,122.02 | Facility | None | $407.38 | $407.38 | $1,122.02 |
United Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $512.86 | Professional | None | $309.03 | $338.84 | $512.86 |
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 $190.55 Median $190.55 Typical High $223.87 | Professional | 52 · Reduced service | $190.55 | $190.55 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | 55 · Aftercare only | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $45.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $338.84 Typical High $436.52 | Professional | RR · Rental | $41.69 | $338.84 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | UE · Used equipment | $245.47 | $245.47 | $309.03 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in New Hampshire. 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· 47th of 51
$380
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.