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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $602.56 Typical High $630.96 | Professional | None | $537.03 | $602.56 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $3,162.28 | Facility | None | $1,071.52 | $1,174.90 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $1,412.54 | Professional | None | $426.58 | $602.56 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $851.14 | Facility | None | $724.44 | $724.44 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $851.14 | Professional | None | $537.03 | $537.03 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,318.26 | Facility | None | $309.03 | $602.56 | $1,318.26 |
Denver HMP Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $776.25 Median $1,445.44 Typical High $2,089.30 | Professional | None | $776.25 | $1,445.44 | $2,089.30 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,096.48 | $2,041.74 | $2,344.23 |
Select Health Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,548.82 | Professional | None | $776.25 | $1,096.48 | $1,548.82 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $724.44 | Professional | None | $436.52 | $478.63 | $724.44 |
4 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 55 · Aftercare only Typical Low $89.13 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $89.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $58.88 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $602.56 Typical High $707.95 | Professional | RR · Rental | $60.26 | $602.56 | $707.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | UE · Used equipment | $436.52 | $436.52 | $436.52 |
Where Colorado sits
The same service costs 2.0 times more in Montana than in West Virginia. 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· 34th of 51
$603
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.