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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $3,715.35 | Facility | None | $1,230.27 | $1,348.96 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $562.34 Median $851.14 Typical High $1,905.46 | Professional | None | $562.34 | $851.14 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $407.38 Median $707.95 Typical High $1,548.82 | Facility | None | $407.38 | $707.95 | $1,548.82 |
Denver HMP Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,659.59 Typical High $2,570.40 | Professional | None | $912.01 | $1,659.59 | $2,570.40 |
Select Health Setting Facility Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,398.83 | $2,691.53 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,698.24 | Professional | None | $954.99 | $1,288.25 | $1,698.24 |
United Setting Facility Modifier None Typical Low $630.96 Median $794.33 Typical High $794.33 | Facility | None | $630.96 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $954.99 | Professional | None | $537.03 | $630.96 | $954.99 |
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 $354.81 Median $354.81 Typical High $380.19 | Professional | 52 · Reduced service | $354.81 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 53 · Discontinued | $141.25 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 55 · Aftercare only | $107.15 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | 56 · Pre-op care only | $70.79 | $70.79 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $851.14 Typical High $851.14 | Professional | RR · Rental | $83.18 | $851.14 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | UE · Used equipment | $616.60 | $616.60 | $630.96 |
Where Colorado sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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
$708
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.