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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | None | $269.15 | $269.15 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $512.86 Typical High $1,412.54 | Facility | None | $467.74 | $512.86 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $281.84 Typical High $602.56 | Professional | None | $181.97 | $281.84 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | None | $257.04 | $257.04 | $354.81 |
Denver HMP Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $588.84 | Facility | None | $147.91 | $269.15 | $588.84 |
Denver HMP Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $977.24 | Professional | None | $346.74 | $630.96 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $912.01 Typical High $1,023.29 | Facility | None | $489.78 | $912.01 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $691.83 | Professional | None | $407.38 | $489.78 | $691.83 |
United Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $309.03 | Facility | None | $234.42 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $346.74 | Professional | None | $208.93 | $229.09 | $346.74 |
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 $131.83 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $131.83 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $40.74 Typical High $41.69 | Professional | 55 · Aftercare only | $39.81 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $28.18 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
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· 38th of 51
$269
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.