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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $36.31 | Professional | None | $30.20 | $34.67 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $181.97 | Facility | None | $60.26 | $66.07 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $81.28 | Professional | None | $23.99 | $34.67 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $36.31 | Facility | None | $33.88 | $33.88 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $36.31 | Professional | None | $25.12 | $25.12 | $36.31 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $34.67 Typical High $74.13 | Facility | None | $17.78 | $34.67 | $74.13 |
Denver HMP Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $81.28 Typical High $125.89 | Professional | None | $47.86 | $81.28 | $125.89 |
Select Health Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $131.83 | Facility | None | $63.10 | $117.49 | $131.83 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $89.13 | Professional | None | $44.67 | $63.10 | $89.13 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $40.74 | Professional | None | $24.55 | $27.54 | $40.74 |
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 $16.60 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $16.60 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.25 Typical High $5.25 | Professional | 55 · Aftercare only | $5.01 | $5.25 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.47 Typical High $3.47 | Professional | 56 · Pre-op care only | $3.39 | $3.47 | $3.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.31 Median $34.67 Typical High $34.67 | Professional | RR · Rental | $3.31 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $25.12 | $25.12 | $25.12 |
Where Colorado sits
The same service costs 2.8 times more in Montana 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· 26th of 51
$34.67
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.