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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,548.13 | $3,801.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $6,918.31 Median $7,762.47 Typical High $20,892.96 | Facility | None | $6,918.31 | $7,762.47 | $20,892.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $3,801.89 Typical High $8,128.31 | Professional | None | $2,691.53 | $3,801.89 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $4,897.79 | Professional | None | $3,548.13 | $3,548.13 | $4,897.79 |
Denver HMP Setting Facility Modifier None Typical Low $1,995.26 Median $3,981.07 Typical High $8,912.51 | Facility | None | $1,995.26 | $3,981.07 | $8,912.51 |
Denver HMP Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,128.61 Median $9,549.93 Typical High $14,454.40 | Professional | None | $5,128.61 | $9,549.93 | $14,454.40 |
Select Health Setting Facility Modifier None Typical Low $7,244.36 Median $13,489.63 Typical High $15,135.61 | Facility | None | $7,244.36 | $13,489.63 | $15,135.61 |
Select Health Setting Professional Modifier None Typical Low $5,495.41 Median $7,244.36 Typical High $10,232.93 | Professional | None | $5,495.41 | $7,244.36 | $10,232.93 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $5,370.32 Typical High $5,370.32 | Facility | None | $4,073.80 | $5,370.32 | $5,370.32 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $4,786.30 | Professional | None | $2,754.23 | $3,090.30 | $4,786.30 |
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 $1,778.28 Median $1,778.28 Typical High $1,905.46 | Professional | 52 · Reduced service | $1,778.28 | $1,778.28 | $1,905.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | 53 · Discontinued | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | 55 · Aftercare only | $537.03 | $537.03 | $575.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $354.81 Median $354.81 Typical High $380.19 | Professional | 56 · Pre-op care only | $354.81 | $354.81 | $380.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $3,801.89 Typical High $3,801.89 | Professional | RR · Rental | $380.19 | $3,801.89 | $3,801.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,818.38 | $2,818.38 | $2,818.38 |
Where Colorado sits
The same service costs 3.5 times more in Hawaii than in Washington, DC. 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
$3,548
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.