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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | None | $371.54 | $371.54 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $1,949.84 | Facility | None | $645.65 | $707.95 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $870.96 | Professional | None | $269.15 | $389.05 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $407.38 | Professional | None | $295.12 | $295.12 | $407.38 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $371.54 Typical High $831.76 | Facility | None | $208.93 | $371.54 | $831.76 |
Denver HMP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $467.74 Median $870.96 Typical High $1,288.25 | Professional | None | $467.74 | $870.96 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $1,412.54 | Facility | None | $676.08 | $1,230.27 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $676.08 Typical High $891.25 | Professional | None | $467.74 | $676.08 | $891.25 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,071.52 | Facility | None | $436.52 | $436.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $489.78 | Professional | None | $295.12 | $323.59 | $489.78 |
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 $186.21 Median $186.21 Typical High $194.98 | Professional | 52 · Reduced service | $186.21 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 53 · Discontinued | $74.13 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | 55 · Aftercare only | $54.95 | $54.95 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | 56 · Pre-op care only | $37.15 | $37.15 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $398.11 Typical High $398.11 | Professional | RR · Rental | $38.02 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Where Colorado sits
The same service costs 3.5 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· 46th of 51
$372
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.