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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | None | $302.00 | $331.13 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $1,737.80 | Facility | None | $575.44 | $645.65 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $218.78 Median $323.59 Typical High $724.44 | Professional | None | $218.78 | $323.59 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $676.08 | Facility | None | $173.78 | $331.13 | $676.08 |
Denver HMP Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $426.58 Median $794.33 Typical High $1,148.15 | Professional | None | $426.58 | $794.33 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,258.93 | Facility | None | $602.56 | $1,122.02 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $758.58 | Professional | None | $426.58 | $602.56 | $758.58 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $407.38 | Facility | None | $354.81 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $407.38 | Professional | None | $239.88 | $269.15 | $407.38 |
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 $162.18 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $162.18 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $64.57 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 55 · Aftercare only | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | 56 · Pre-op care only | $32.36 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $32.36 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Colorado sits
The same service costs 4.2 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· 31st of 51
$331
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.