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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None | $58.88 | $58.88 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $112.20 Typical High $309.03 | Facility | None | $102.33 | $112.20 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $141.25 | Professional | None | $45.71 | $61.66 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
Denver HMP Setting Facility Modifier None Typical Low $33.88 Median $63.10 Typical High $131.83 | Facility | None | $33.88 | $63.10 | $131.83 |
Denver HMP Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $138.04 Typical High $213.80 | Professional | None | $79.43 | $138.04 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $223.87 | Facility | None | $107.15 | $199.53 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $147.91 | Professional | None | $93.33 | $107.15 | $147.91 |
United Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $69.18 | Facility | None | $61.66 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $79.43 | Professional | None | $46.77 | $52.48 | $79.43 |
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 $29.51 Median $29.51 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $29.51 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | 55 · Aftercare only | $8.71 | $8.71 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $5.89 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.89 | $5.89 | $6.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.31 Median $61.66 Typical High $67.61 | Professional | RR · Rental | $6.31 | $61.66 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
Where Colorado sits
The same service costs 3.5 times more in Hawaii than in Florida. 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
$58.88
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.