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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $380.19 | Professional | None | $346.74 | $346.74 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $1,819.70 | Facility | None | $616.60 | $676.08 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $831.76 | Professional | None | $263.03 | $389.05 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $524.81 | Professional | None | $380.19 | $380.19 | $524.81 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $346.74 Typical High $758.58 | Facility | None | $199.53 | $346.74 | $758.58 |
Denver HMP Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,202.26 | Professional | None | $446.68 | $831.76 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,348.96 | Facility | None | $630.96 | $1,174.90 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $630.96 Typical High $891.25 | Professional | None | $562.34 | $630.96 | $891.25 |
United Setting Facility Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Facility | None | $389.05 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $467.74 | Professional | None | $281.84 | $309.03 | $467.74 |
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 $173.78 Median $173.78 Typical High $190.55 | Professional | 52 · Reduced service | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | 53 · Discontinued | $69.18 | $69.18 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $52.48 Typical High $57.54 | Professional | 55 · Aftercare only | $52.48 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $38.02 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $389.05 Typical High $398.11 | Professional | RR · Rental | $38.90 | $389.05 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $281.84 | $281.84 | $281.84 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Maryland. 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· 41st of 51
$380
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.