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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,096.48 | $1,412.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $7,413.10 | Facility | None | $2,454.71 | $2,691.53 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,148.15 Typical High $3,019.95 | Professional | None | $741.31 | $1,148.15 | $3,019.95 |
Cigna Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,174.90 | Professional | None | $851.14 | $851.14 | $1,174.90 |
Denver HMP Setting Facility Modifier None Typical Low $602.56 Median $1,412.54 Typical High $2,818.38 | Facility | None | $602.56 | $1,412.54 | $2,818.38 |
Denver HMP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $3,235.94 Typical High $4,897.79 | Professional | None | $1,778.28 | $3,235.94 | $4,897.79 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,786.30 Typical High $5,370.32 | Facility | None | $2,570.40 | $4,786.30 | $5,370.32 |
Select Health Setting Professional Modifier None Typical Low $1,778.28 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,778.28 | $2,570.40 | $3,630.78 |
United Setting Facility Modifier None Typical Low $870.96 Median $933.25 Typical High $933.25 | Facility | None | $870.96 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $851.14 Median $933.25 Typical High $1,412.54 | Professional | None | $851.14 | $933.25 | $1,412.54 |
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 $562.34 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $562.34 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $223.87 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $169.82 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $112.20 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $1,148.15 Typical High $1,148.15 | Professional | RR · Rental | $114.82 | $1,148.15 | $1,148.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Colorado sits
The same service costs 3.0 times more in Montana 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· 26th of 51
$1,175
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.