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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $645.65 | Professional | None | $331.13 | $331.13 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $645.65 Typical High $1,778.28 | Facility | None | $588.84 | $645.65 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,445.44 | Professional | None | $467.74 | $691.83 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $707.95 | Facility | None | $630.96 | $630.96 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $707.95 | Professional | None | $467.74 | $467.74 | $707.95 |
Denver HMP Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $758.58 | Facility | None | $331.13 | $426.58 | $758.58 |
Denver HMP Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $1,230.27 | Professional | None | $426.58 | $794.33 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $616.60 Median $1,122.02 Typical High $1,288.25 | Facility | None | $616.60 | $1,122.02 | $1,288.25 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $933.25 | Professional | None | $645.65 | $870.96 | $933.25 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $776.25 | Professional | None | $407.38 | $478.63 | $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 $165.96 Median $165.96 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $165.96 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $66.07 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 55 · Aftercare only | $50.12 | $50.12 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | 56 · Pre-op care only | $33.11 | $33.11 | $51.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $691.83 Typical High $691.83 | Professional | RR · Rental | $69.18 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $512.86 | $512.86 | $512.86 |
Where Colorado sits
The same service costs 2.2 times more in Kansas than in Utah. 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· 48th of 51
$479
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.