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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $616.60 | Professional | None | $575.44 | $575.44 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $3,019.95 | Facility | None | $1,023.29 | $1,122.02 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,479.11 | Professional | None | $446.68 | $660.69 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $1,288.25 | Facility | None | $331.13 | $602.56 | $1,288.25 |
Denver HMP Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $1,380.38 Typical High $2,089.30 | Professional | None | $741.31 | $1,380.38 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,238.72 | Facility | None | $1,047.13 | $1,949.84 | $2,238.72 |
Select Health Setting Professional Modifier None Typical Low $794.33 Median $1,047.13 Typical High $1,412.54 | Professional | None | $794.33 | $1,047.13 | $1,412.54 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Facility | None | $645.65 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $776.25 | Professional | None | $467.74 | $512.86 | $776.25 |
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 $288.40 Median $288.40 Typical High $309.03 | Professional | 52 · Reduced service | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 53 · Discontinued | $114.82 | $114.82 | $123.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 55 · Aftercare only | $87.10 | $87.10 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 56 · Pre-op care only | $57.54 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $66.07 | $660.69 | $660.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 44th of 51
$575
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.