How much rates vary
Facilitymedian $36,308 · 10th to 90th $21,878 to $81,283Professionalmedian $26,915 · 10th to 90th $19,953 to $52,481
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 $21,877.62 Median $21,877.62 Typical High $21,877.62 | Facility | None | $21,877.62 | $21,877.62 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $21,877.62 Median $21,877.62 Typical High $26,302.68 | Professional | None | $21,877.62 | $21,877.62 | $26,302.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $38,904.51 Median $42,657.95 Typical High $114,815.36 | Facility | None | $38,904.51 | $42,657.95 | $114,815.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $27,542.29 Typical High $53,703.18 | Professional | None | $1,905.46 | $27,542.29 | $53,703.18 |
Cigna Setting Professional Modifier None Typical Low $32,359.37 Median $32,359.37 Typical High $41,686.94 | Professional | None | $32,359.37 | $32,359.37 | $41,686.94 |
Denver HMP Setting Facility Modifier None Typical Low $19,952.62 Median $27,542.29 Typical High $44,668.36 | Facility | None | $19,952.62 | $27,542.29 | $44,668.36 |
Denver HMP Setting Professional Modifier None Typical Low $27,542.29 Median $27,542.29 Typical High $27,542.29 | Professional | None | $27,542.29 | $27,542.29 | $27,542.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28,183.83 Median $51,286.14 Typical High $75,857.76 | Professional | None | $28,183.83 | $51,286.14 | $75,857.76 |
Select Health Setting Facility Modifier None Typical Low $40,738.03 Median $74,131.02 Typical High $85,113.80 | Facility | None | $40,738.03 | $74,131.02 | $85,113.80 |
Select Health Setting Professional Modifier None Typical Low $28,183.83 Median $40,738.03 Typical High $50,118.72 | Professional | None | $28,183.83 | $40,738.03 | $50,118.72 |
United Setting Facility Modifier None Typical Low $53,703.18 Median $53,703.18 Typical High $53,703.18 | Facility | None | $53,703.18 | $53,703.18 | $53,703.18 |
United Setting Professional Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $33,113.11 | Professional | None | $19,952.62 | $19,952.62 | $33,113.11 |
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 $10,964.78 Median $10,964.78 Typical High $12,882.50 | Professional | 52 · Reduced service | $10,964.78 | $10,964.78 | $12,882.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,466.84 Median $4,466.84 Typical High $5,128.61 | Professional | 53 · Discontinued | $4,466.84 | $4,466.84 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,311.31 Median $3,311.31 Typical High $3,890.45 | Professional | 55 · Aftercare only | $3,311.31 | $3,311.31 | $3,890.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,187.76 Median $2,187.76 Typical High $2,570.40 | Professional | 56 · Pre-op care only | $2,187.76 | $2,187.76 | $2,570.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5,370.32 Median $53,703.18 Typical High $53,703.18 | Professional | RR · Rental | $5,370.32 | $53,703.18 | $53,703.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40,738.03 Median $40,738.03 Typical High $40,738.03 | Professional | UE · Used equipment | $40,738.03 | $40,738.03 | $40,738.03 |
Where Colorado sits
The same service costs 2.7 times more in Georgia than in Arizona. 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· 42nd of 51
$27,542
GA $53,703AZ $19,953
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.