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 $794.33 Median $794.33 Typical High $1,258.93 | Facility | None | $794.33 | $794.33 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | None | $794.33 | $794.33 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $4,168.69 | Facility | None | $1,412.54 | $1,548.82 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $851.14 Typical High $2,290.87 | Professional | None | $707.95 | $851.14 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | None | $645.65 | $645.65 | $891.25 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $1,819.70 | Facility | None | $457.09 | $794.33 | $1,819.70 |
Denver HMP Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $2,754.23 | Professional | None | $1,023.29 | $1,905.46 | $2,754.23 |
Select Health Setting Facility Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $3,090.30 | Facility | None | $1,445.44 | $2,691.53 | $3,090.30 |
Select Health Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $1,819.70 | Professional | None | $1,071.52 | $1,445.44 | $1,819.70 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $870.96 | Facility | None | $707.95 | $870.96 | $870.96 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,071.52 | Professional | None | $645.65 | $707.95 | $1,071.52 |
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 $398.11 Median $398.11 Typical High $457.09 | Professional | 52 · Reduced service | $398.11 | $398.11 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $181.97 | Professional | 53 · Discontinued | $158.49 | $158.49 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $91.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $85.11 Median $851.14 Typical High $912.01 | Professional | RR · Rental | $85.11 | $851.14 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | UE · Used equipment | $645.65 | $645.65 | $645.65 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii 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· 44th of 51
$794
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.