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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $537.03 | Professional | None | $512.86 | $512.86 | $537.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $912.01 Median $1,000.00 Typical High $2,691.53 | Facility | None | $912.01 | $1,000.00 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $1,412.54 | Professional | None | $363.08 | $524.81 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | None | $416.87 | $416.87 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $281.84 Median $512.86 Typical High $1,148.15 | Facility | None | $281.84 | $512.86 | $1,148.15 |
Denver HMP Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,778.28 | Professional | None | $660.69 | $1,230.27 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $933.25 Median $1,737.80 Typical High $1,995.26 | Facility | None | $933.25 | $1,737.80 | $1,995.26 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $933.25 Typical High $1,174.90 | Professional | None | $660.69 | $933.25 | $1,174.90 |
United Setting Facility Modifier None Typical Low $549.54 Median $660.69 Typical High $660.69 | Facility | None | $549.54 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $660.69 | Professional | None | $398.11 | $436.52 | $660.69 |
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 $257.04 Median $257.04 Typical High $263.03 | Professional | 52 · Reduced service | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 53 · Discontinued | $102.33 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $77.62 Typical High $79.43 | Professional | 55 · Aftercare only | $77.62 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | 56 · Pre-op care only | $51.29 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $537.03 Typical High $588.84 | Professional | RR · Rental | $53.70 | $537.03 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | UE · Used equipment | $398.11 | $398.11 | $398.11 |
Where Colorado sits
The same service costs 3.6 times more in Hawaii than in Kansas. 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· 42nd of 51
$513
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.