How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,479 to $7,762Professionalmedian $3,020 · 10th to 90th $2,089 to $7,943
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,754.23 | $3,019.95 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,025.60 Median $6,606.93 Typical High $17,782.79 | Facility | None | $6,025.60 | $6,606.93 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,137.96 Median $2,754.23 Typical High $6,025.60 | Professional | None | $2,137.96 | $2,754.23 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Denver HMP Setting Facility Modifier None Typical Low $1,479.11 Median $3,019.95 Typical High $6,918.31 | Facility | None | $1,479.11 | $3,019.95 | $6,918.31 |
Denver HMP Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $11,748.98 | Professional | None | $4,365.16 | $8,128.31 | $11,748.98 |
Select Health Setting Facility Modifier None Typical Low $6,165.95 Median $11,481.54 Typical High $13,182.57 | Facility | None | $6,165.95 | $11,481.54 | $13,182.57 |
Select Health Setting Professional Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $8,709.64 | Professional | None | $4,365.16 | $6,165.95 | $8,709.64 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,019.95 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,290.87 | $3,548.13 |
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 $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,380.38 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $549.54 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $549.54 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $275.42 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $275.42 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $2,754.23 Typical High $2,754.23 | Professional | RR · Rental | $275.42 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,089.30 |
Where Colorado sits
The same service costs 3.4 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· 26th of 51
$3,020
HI $7,079DE $2,089
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.