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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $42.66 | Professional | None | $38.90 | $38.90 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $204.17 | Facility | None | $67.61 | $74.13 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $87.10 | Professional | None | $30.90 | $39.81 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
Denver HMP Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $87.10 | Facility | None | $21.38 | $38.90 | $87.10 |
Denver HMP Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $91.20 Typical High $141.25 | Professional | None | $52.48 | $91.20 | $141.25 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $128.82 Typical High $147.91 | Facility | None | $70.79 | $128.82 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $89.13 | Professional | None | $48.98 | $70.79 | $89.13 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $107.15 | Facility | None | $43.65 | $43.65 | $107.15 |
United Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $50.12 | Professional | None | $30.20 | $33.11 | $50.12 |
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 $19.50 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $19.50 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $7.76 | $7.76 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $5.75 Typical High $6.61 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $3.98 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Colorado sits
The same service costs 3.1 times more in Hawaii than in Kentucky. 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· 45th of 51
$40.74
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.