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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,949.84 | $2,398.83 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $12,589.25 | Facility | None | $4,168.69 | $4,677.35 | $12,589.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $5,128.61 | Professional | None | $1,445.44 | $1,949.84 | $5,128.61 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,995.26 | Professional | None | $1,479.11 | $1,479.11 | $1,995.26 |
Denver HMP Setting Facility Modifier None Typical Low $1,047.13 Median $2,398.83 Typical High $4,897.79 | Facility | None | $1,047.13 | $2,398.83 | $4,897.79 |
Denver HMP Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $8,317.64 | Professional | None | $3,090.30 | $5,754.40 | $8,317.64 |
Select Health Setting Facility Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $9,120.11 | Facility | None | $4,365.16 | $8,128.31 | $9,120.11 |
Select Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,365.16 Typical High $6,165.95 | Professional | None | $3,090.30 | $4,365.16 | $6,165.95 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,137.96 | $2,951.21 | $2,951.21 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,621.81 | $2,398.83 |
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 $977.24 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $977.24 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $478.63 Typical High $478.63 | Professional | 53 · Discontinued | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $288.40 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $194.98 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $1,949.84 Typical High $2,754.23 | Professional | RR · Rental | $194.98 | $1,949.84 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,479.11 |
Where Colorado sits
The same service costs 4.4 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· 21st of 51
$2,138
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.