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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $275.42 Typical High $309.03 | Professional | None | $257.04 | $275.42 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $524.81 Typical High $1,445.44 | Facility | None | $478.63 | $524.81 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $588.84 | Professional | None | $173.78 | $269.15 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $575.44 | Facility | None | $141.25 | $275.42 | $575.44 |
Denver HMP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $645.65 Typical High $954.99 | Professional | None | $346.74 | $645.65 | $954.99 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $1,047.13 | Facility | None | $501.19 | $912.01 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $501.19 Typical High $616.60 | Professional | None | $346.74 | $501.19 | $616.60 |
United Setting Facility Modifier None Typical Low $295.12 Median $389.05 Typical High $389.05 | Facility | None | $295.12 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $331.13 | Professional | None | $199.53 | $218.78 | $331.13 |
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 $128.82 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $128.82 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $51.29 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $38.90 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | 56 · Pre-op care only | $25.70 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $26.30 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | UE · Used equipment | $194.98 | $194.98 | $194.98 |
Where Colorado sits
The same service costs 3.8 times more in Hawaii 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· 32nd of 51
$275
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.