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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $870.96 Typical High $891.25 | Professional | None | $831.76 | $870.96 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $4,570.88 | Facility | None | $1,513.56 | $1,659.59 | $4,570.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $575.44 Median $831.76 Typical High $2,344.23 | Professional | None | $575.44 | $831.76 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $1,862.09 | Facility | None | $446.68 | $870.96 | $1,862.09 |
Denver HMP Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,096.48 Median $2,041.74 Typical High $3,019.95 | Professional | None | $1,096.48 | $2,041.74 | $3,019.95 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $2,884.03 Typical High $3,311.31 | Facility | None | $1,584.89 | $2,884.03 | $3,311.31 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,096.48 | $1,584.89 | $1,949.84 |
United Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $870.96 | Facility | None | $851.14 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $616.60 Median $691.83 Typical High $1,023.29 | Professional | None | $616.60 | $691.83 | $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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $173.78 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | 56 · Pre-op care only | $87.10 | $87.10 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $831.76 Typical High $831.76 | Professional | RR · Rental | $83.18 | $831.76 | $831.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
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
$871
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.