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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | None | $794.33 | $851.14 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $4,466.84 | Facility | None | $1,479.11 | $1,621.81 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $2,041.74 | Professional | None | $602.56 | $794.33 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $851.14 | Professional | None | $616.60 | $616.60 | $851.14 |
Denver HMP Setting Facility Modifier None Typical Low $436.52 Median $851.14 Typical High $1,698.24 | Facility | None | $436.52 | $851.14 | $1,698.24 |
Denver HMP Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $2,951.21 | Professional | None | $1,071.52 | $1,995.26 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,548.82 Median $2,884.03 Typical High $3,235.94 | Facility | None | $1,548.82 | $2,884.03 | $3,235.94 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,548.82 | $1,949.84 |
United Setting Facility Modifier None Typical Low $630.96 Median $776.25 Typical High $776.25 | Facility | None | $630.96 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,023.29 | Professional | None | $602.56 | $676.08 | $1,023.29 |
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 $407.38 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $407.38 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $162.18 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | 55 · Aftercare only | $120.23 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $85.11 Typical High $85.11 | Professional | 56 · Pre-op care only | $81.28 | $85.11 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $79.43 | $794.33 | $794.33 |
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 3.0 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· 29th of 51
$851
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.