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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,047.13 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,041.74 Typical High $5,495.41 | Facility | None | $1,819.70 | $2,041.74 | $5,495.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,511.89 | Professional | None | $794.33 | $1,122.02 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $1,047.13 Typical High $2,290.87 | Facility | None | $602.56 | $1,047.13 | $2,290.87 |
Denver HMP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,348.96 Median $2,511.89 Typical High $3,630.78 | Professional | None | $1,348.96 | $2,511.89 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $3,981.07 | Facility | None | $1,905.46 | $3,548.13 | $3,981.07 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $1,905.46 Typical High $2,570.40 | Professional | None | $1,479.11 | $1,905.46 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,122.02 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,412.54 | Professional | None | $851.14 | $933.25 | $1,412.54 |
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 $524.81 Median $524.81 Typical High $575.44 | Professional | 52 · Reduced service | $524.81 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | 55 · Aftercare only | $158.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $104.71 | $104.71 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $1,122.02 Typical High $1,202.26 | Professional | RR · Rental | $117.49 | $1,122.02 | $1,202.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Colorado sits
The same service costs 3.3 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· 45th of 51
$1,047
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.