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 $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,659.59 | Professional | None | $1,380.38 | $1,380.38 | $1,659.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $8,128.31 | Facility | None | $2,754.23 | $3,019.95 | $8,128.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,698.24 Typical High $3,801.89 | Professional | None | $1,348.96 | $1,698.24 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,737.80 | Professional | None | $1,258.93 | $1,258.93 | $1,737.80 |
Denver HMP Setting Facility Modifier None Typical Low $891.25 Median $1,621.81 Typical High $3,548.13 | Facility | None | $891.25 | $1,621.81 | $3,548.13 |
Denver HMP Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,995.26 Median $3,715.35 Typical High $5,754.40 | Professional | None | $1,995.26 | $3,715.35 | $5,754.40 |
Select Health Setting Facility Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $6,025.60 | Facility | None | $2,818.38 | $5,248.07 | $6,025.60 |
Select Health Setting Professional Modifier None Typical Low $2,238.72 Median $2,818.38 Typical High $3,548.13 | Professional | None | $2,238.72 | $2,818.38 | $3,548.13 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $2,137.96 | Professional | None | $1,258.93 | $1,380.38 | $2,137.96 |
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 $691.83 Median $691.83 Typical High $831.76 | Professional | 52 · Reduced service | $691.83 | $691.83 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | 53 · Discontinued | $281.84 | $281.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $208.93 Typical High $251.19 | Professional | 55 · Aftercare only | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | 56 · Pre-op care only | $138.04 | $138.04 | $165.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $169.82 | $1,698.24 | $1,698.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | UE · Used equipment | $1,258.93 | $1,258.93 | $1,258.93 |
Where Colorado sits
The same service costs 2.7 times more in Hawaii than in Delaware. 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· 43rd of 51
$1,585
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.