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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | None | $338.84 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $1,905.46 | Facility | None | $630.96 | $691.83 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $870.96 | Professional | None | $229.09 | $338.84 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Denver HMP Setting Facility Modifier None Typical Low $181.97 Median $363.08 Typical High $758.58 | Facility | None | $181.97 | $363.08 | $758.58 |
Denver HMP Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $1,258.93 | Professional | None | $457.09 | $851.14 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $1,380.38 | Facility | None | $660.69 | $1,202.26 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $660.69 Typical High $912.01 | Professional | None | $489.78 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $371.54 | Facility | None | $269.15 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $251.19 Median $281.84 Typical High $416.87 | Professional | None | $251.19 | $281.84 | $416.87 |
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 $169.82 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $169.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $67.61 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | 55 · Aftercare only | $51.29 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.88 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $33.88 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $33.88 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $257.04 | $257.04 | $257.04 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Vermont. 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· 27th of 51
$363
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.