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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Professional | None | $66.07 | $66.07 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $125.89 Typical High $346.74 | Facility | None | $114.82 | $125.89 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $47.86 Median $69.18 Typical High $158.49 | Professional | None | $47.86 | $69.18 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $74.13 | Professional | None | $53.70 | $53.70 | $74.13 |
Denver HMP Setting Facility Modifier None Typical Low $38.02 Median $66.07 Typical High $151.36 | Facility | None | $38.02 | $66.07 | $151.36 |
Denver HMP Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $239.88 | Professional | None | $89.13 | $154.88 | $239.88 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $251.19 | Facility | None | $120.23 | $223.87 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $120.23 Typical High $165.96 | Professional | None | $104.71 | $120.23 | $165.96 |
United Setting Facility Modifier None Typical Low $77.62 Median $79.43 Typical High $79.43 | Facility | None | $77.62 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | None | $52.48 | $58.88 | $89.13 |
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 $33.11 Median $33.11 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $9.77 Typical High $10.47 | Professional | 55 · Aftercare only | $9.77 | $9.77 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $7.08 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $7.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $6.92 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
Where Colorado sits
The same service costs 3.1 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· 42nd of 51
$66.07
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.