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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | None | $31.62 | $33.88 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $177.83 | Facility | None | $58.88 | $64.57 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $79.43 | Professional | None | $23.44 | $30.90 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Denver HMP Setting Facility Modifier None Typical Low $17.38 Median $33.88 Typical High $72.44 | Facility | None | $17.38 | $33.88 | $72.44 |
Denver HMP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $123.03 | Professional | None | $45.71 | $79.43 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $128.82 | Facility | None | $61.66 | $114.82 | $128.82 |
Select Health Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $87.10 | Professional | None | $42.66 | $61.66 | $87.10 |
United Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $23.99 Median $26.92 Typical High $39.81 | Professional | None | $23.99 | $26.92 | $39.81 |
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 $16.22 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $16.22 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $6.61 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 55 · Aftercare only | $4.90 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.39 Typical High $3.39 | Professional | 56 · Pre-op care only | $3.24 | $3.39 | $3.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.16 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $3.16 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | UE · Used equipment | $23.44 | $23.44 | $23.44 |
Where Colorado sits
The same service costs 2.6 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· 24th of 51
$33.88
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.