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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $309.03 | Professional | None | $281.84 | $302.00 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $1,584.89 | Facility | None | $524.81 | $588.84 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $630.96 | Professional | None | $190.55 | $288.40 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | None | $218.78 | $218.78 | $295.12 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $602.56 | Facility | None | $154.88 | $302.00 | $602.56 |
Denver HMP Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $691.83 Typical High $1,047.13 | Professional | None | $389.05 | $691.83 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,148.15 | Facility | None | $549.54 | $1,023.29 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $691.83 | Professional | None | $398.11 | $549.54 | $691.83 |
United Setting Facility Modifier None Typical Low $316.23 Median $346.74 Typical High $346.74 | Facility | None | $316.23 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $354.81 | Professional | None | $213.80 | $239.88 | $354.81 |
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 $144.54 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $144.54 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $57.54 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $45.71 Typical High $46.77 | Professional | 55 · Aftercare only | $42.66 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $30.20 Typical High $30.90 | Professional | 56 · Pre-op care only | $28.84 | $30.20 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.84 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $28.84 | $295.12 | $295.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $218.78 | $218.78 | $218.78 |
Where Colorado sits
The same service costs 4.2 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· 24th of 51
$302
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.