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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $79.43 | Professional | None | $57.54 | $79.43 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $416.87 | Facility | None | $138.04 | $151.36 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $66.07 Typical High $144.54 | Professional | None | $43.65 | $66.07 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | None | $50.12 | $50.12 | $69.18 |
Denver HMP Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $158.49 | Facility | None | $33.88 | $79.43 | $158.49 |
Denver HMP Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $288.40 | Professional | None | $107.15 | $186.21 | $288.40 |
Select Health Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $302.00 | Facility | None | $144.54 | $269.15 | $302.00 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $199.53 | Professional | None | $100.00 | $144.54 | $199.53 |
United Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $83.18 | Facility | None | $70.79 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $79.43 | Professional | None | $47.86 | $52.48 | $79.43 |
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 $30.90 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.30 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $9.12 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $6.17 | $7.94 | $7.94 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.61 Median $66.07 Typical High $91.20 | Professional | RR · Rental | $6.61 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | UE · Used equipment | $47.86 | $47.86 | $47.86 |
Where Colorado sits
The same service costs 4.4 times more in Hawaii 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· 25th of 51
$70.79
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.