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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | None | $123.03 | $144.54 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $281.84 Typical High $758.58 | Facility | None | $257.04 | $281.84 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $269.15 | Professional | None | $95.50 | $120.23 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $144.54 | Professional | None | $104.71 | $104.71 | $144.54 |
Denver HMP Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $295.12 | Facility | None | $64.57 | $144.54 | $295.12 |
Denver HMP Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $501.19 | Professional | None | $194.98 | $338.84 | $501.19 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $562.34 | Facility | None | $263.03 | $489.78 | $562.34 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $331.13 | Professional | None | $173.78 | $263.03 | $331.13 |
United Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $100.00 | Facility | None | $87.10 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None | $91.20 | $100.00 | $151.36 |
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 $61.66 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $61.66 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $25.12 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $18.62 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.02 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $12.02 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $89.13 | $89.13 | $89.13 |
Where Colorado sits
The same service costs 2.5 times more in Montana 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· 21st of 51
$145
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.