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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $741.31 Typical High $794.33 | Professional | None | $724.44 | $741.31 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,890.45 | Facility | None | $1,288.25 | $1,412.54 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,737.80 | Professional | None | $524.81 | $794.33 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
Denver HMP Setting Facility Modifier None Typical Low $426.58 Median $741.31 Typical High $1,659.59 | Facility | None | $426.58 | $741.31 | $1,659.59 |
Denver HMP Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,737.80 Typical High $2,630.27 | Professional | None | $933.25 | $1,737.80 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,348.96 | $2,454.71 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $1,174.90 Median $1,348.96 Typical High $1,862.09 | Professional | None | $1,174.90 | $1,348.96 | $1,862.09 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $870.96 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,000.00 | Professional | None | $588.84 | $660.69 | $1,000.00 |
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 $371.54 Median $371.54 Typical High $398.11 | Professional | 52 · Reduced service | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | 53 · Discontinued | $147.91 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $812.83 Typical High $851.14 | Professional | RR · Rental | $79.43 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Colorado sits
The same service costs 5.4 times more in Hawaii 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
$741
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.