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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $676.08 | Professional | None | $602.56 | $676.08 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,318.26 Typical High $3,548.13 | Facility | None | $1,202.26 | $1,318.26 | $3,548.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $630.96 Typical High $1,380.38 | Professional | None | $416.87 | $630.96 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $741.31 | Professional | None | $537.03 | $537.03 | $741.31 |
Denver HMP Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $1,380.38 | Facility | None | $338.84 | $676.08 | $1,380.38 |
Denver HMP Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $870.96 Median $1,621.81 Typical High $2,344.23 | Professional | None | $870.96 | $1,621.81 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,230.27 | $2,290.87 | $2,630.27 |
Select Health Setting Professional Modifier None Typical Low $912.01 Median $1,230.27 Typical High $1,548.82 | Professional | None | $912.01 | $1,230.27 | $1,548.82 |
United Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $933.25 | Facility | None | $691.83 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $467.74 Median $524.81 Typical High $776.25 | Professional | None | $467.74 | $524.81 | $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 $302.00 Median $338.84 Typical High $338.84 | Professional | 52 · Reduced service | $302.00 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $120.23 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $91.20 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 56 · Pre-op care only | $60.26 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $63.10 Median $630.96 Typical High $630.96 | Professional | RR · Rental | $63.10 | $630.96 | $630.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | UE · Used equipment | $467.74 | $467.74 | $467.74 |
Where Colorado sits
The same service costs 4.2 times more in Hawaii than in Florida. 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· 27th of 51
$676
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.