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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $54.95 | Professional | None | $47.86 | $51.29 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $269.15 | Facility | None | $91.20 | $100.00 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $123.03 | Professional | None | $37.15 | $51.29 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Facility | None | $56.23 | $56.23 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $64.57 | Professional | None | $41.69 | $41.69 | $64.57 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $109.65 | Facility | None | $26.92 | $51.29 | $109.65 |
Denver HMP Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $123.03 Typical High $194.98 | Professional | None | $70.79 | $123.03 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $173.78 Typical High $199.53 | Facility | None | $93.33 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $131.83 | Professional | None | $66.07 | $93.33 | $131.83 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $134.90 | Facility | None | $44.67 | $44.67 | $134.90 |
United Setting Professional Modifier None Typical Low $37.15 Median $41.69 Typical High $63.10 | Professional | None | $37.15 | $41.69 | $63.10 |
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 $24.55 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $24.55 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $7.41 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.90 | $5.13 | $5.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $51.29 Typical High $58.88 | Professional | RR · Rental | $4.90 | $51.29 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | UE · Used equipment | $37.15 | $37.15 | $37.15 |
Where Colorado sits
The same service costs 2.6 times more in Kansas 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· 32nd of 51
$51.29
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.