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 $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Professional | None | $549.54 | $549.54 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,047.13 Typical High $2,818.38 | Facility | None | $954.99 | $1,047.13 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $1,348.96 | Professional | None | $407.38 | $588.84 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $758.58 | Professional | None | $549.54 | $549.54 | $758.58 |
Denver HMP Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $1,230.27 | Facility | None | $309.03 | $549.54 | $1,230.27 |
Denver HMP Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $691.83 Median $1,288.25 Typical High $1,862.09 | Professional | None | $691.83 | $1,288.25 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,819.70 Typical High $2,089.30 | Facility | None | $1,000.00 | $1,819.70 | $2,089.30 |
Select Health Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,318.26 | Professional | None | $707.95 | $1,000.00 | $1,318.26 |
United Setting Facility Modifier None Typical Low $575.44 Median $645.65 Typical High $645.65 | Facility | None | $575.44 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $724.44 | Professional | None | $436.52 | $478.63 | $724.44 |
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 $269.15 Median $269.15 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $109.65 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 55 · Aftercare only | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $60.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $58.88 Median $588.84 Typical High $588.84 | Professional | RR · Rental | $58.88 | $588.84 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in Arizona. 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· 47th of 51
$550
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.