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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | None | $380.19 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $2,041.74 | Facility | None | $691.83 | $758.58 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $912.01 | Professional | None | $263.03 | $389.05 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $457.09 Typical High $851.14 | Facility | None | $331.13 | $457.09 | $851.14 |
Denver HMP Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $1,348.96 | Professional | None | $501.19 | $933.25 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,513.56 | Facility | None | $707.95 | $1,318.26 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $501.19 Median $707.95 Typical High $1,000.00 | Professional | None | $501.19 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $489.78 | Professional | None | $288.40 | $309.03 | $489.78 |
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 $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $190.55 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $75.86 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $38.02 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $389.05 Typical High $389.05 | Professional | RR · Rental | $38.90 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Colorado sits
The same service costs 2.3 times more in Montana 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· 35th of 51
$389
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.