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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None | $467.74 | $467.74 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $912.01 Typical High $2,454.71 | Facility | None | $831.76 | $912.01 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $549.54 Typical High $1,230.27 | Professional | None | $331.13 | $549.54 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None | $398.11 | $398.11 | $549.54 |
Denver HMP Setting Facility Modifier None Typical Low $257.04 Median $467.74 Typical High $1,071.52 | Facility | None | $257.04 | $467.74 | $1,071.52 |
Denver HMP Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,621.81 | Professional | None | $602.56 | $1,122.02 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $851.14 Median $1,584.89 Typical High $1,819.70 | Facility | None | $851.14 | $1,584.89 | $1,819.70 |
Select Health Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,071.52 | Professional | None | $602.56 | $851.14 | $1,071.52 |
United Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $436.52 | Facility | None | $331.13 | $436.52 | $436.52 |
United Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $602.56 | Professional | None | $363.08 | $398.11 | $602.56 |
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 $234.42 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $93.33 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 55 · Aftercare only | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | 56 · Pre-op care only | $46.77 | $46.77 | $52.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $54.95 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $54.95 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | UE · Used equipment | $407.38 | $407.38 | $407.38 |
Where Colorado sits
The same service costs 2.4 times more in Iowa 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· 40th of 51
$468
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.