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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $380.19 Typical High $380.19 | Professional | None | $302.00 | $380.19 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $1,995.26 | Facility | None | $676.08 | $741.31 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $323.59 Typical High $891.25 | Professional | None | $204.17 | $323.59 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $380.19 Typical High $776.25 | Facility | None | $169.82 | $380.19 | $776.25 |
Denver HMP Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,318.26 | Professional | None | $489.78 | $912.01 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,479.11 | Facility | None | $691.83 | $1,288.25 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $870.96 | Professional | None | $489.78 | $691.83 | $870.96 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $389.05 | Professional | None | $234.42 | $263.03 | $389.05 |
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 $158.49 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $63.10 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 55 · Aftercare only | $46.77 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $31.62 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $32.36 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Colorado sits
The same service costs 4.5 times more in Hawaii than in Kansas. 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· 22nd of 51
$372
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.