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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | None | $56.23 | $58.88 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $104.71 Median $114.82 Typical High $309.03 | Facility | None | $104.71 | $114.82 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $138.04 | Professional | None | $41.69 | $56.23 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | None | $50.12 | $50.12 | $67.61 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $58.88 Typical High $128.82 | Facility | None | $30.20 | $58.88 | $128.82 |
Denver HMP Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $81.28 Median $141.25 Typical High $213.80 | Professional | None | $81.28 | $141.25 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $229.09 | Facility | None | $107.15 | $199.53 | $229.09 |
Select Health Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | None | $75.86 | $107.15 | $151.36 |
United Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $60.26 | Facility | None | $32.36 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $70.79 | Professional | None | $42.66 | $46.77 | $70.79 |
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 $28.84 Median $29.51 Typical High $29.51 | Professional | 52 · Reduced service | $28.84 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $11.48 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.71 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $5.89 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.75 | $5.89 | $5.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.62 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $5.62 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | UE · Used equipment | $42.66 | $42.66 | $42.66 |
Where Colorado sits
The same service costs 2.1 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· 30th of 51
$58.88
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.