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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | None | $251.19 | $251.19 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $537.03 Typical High $1,479.11 | Facility | None | $489.78 | $537.03 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $660.69 | Professional | None | $199.53 | $302.00 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | None | $251.19 | $251.19 | $346.74 |
Denver HMP Setting Facility Modifier None Typical Low $162.18 Median $316.23 Typical High $645.65 | Facility | None | $162.18 | $316.23 | $645.65 |
Denver HMP Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $660.69 Typical High $1,023.29 | Professional | None | $354.81 | $660.69 | $1,023.29 |
Select Health Setting Facility Modifier None Typical Low $512.86 Median $954.99 Typical High $1,071.52 | Facility | None | $512.86 | $954.99 | $1,071.52 |
Select Health Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $707.95 | Professional | None | $407.38 | $512.86 | $707.95 |
United Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $251.19 | Facility | None | $173.78 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $223.87 Median $251.19 Typical High $389.05 | Professional | None | $223.87 | $251.19 | $389.05 |
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 $125.89 Median $125.89 Typical High $158.49 | Professional | 52 · Reduced service | $125.89 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | 53 · Discontinued | $50.12 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $38.02 Typical High $46.77 | Professional | 55 · Aftercare only | $38.02 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | 56 · Pre-op care only | $25.12 | $25.12 | $31.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $30.20 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Where Colorado sits
The same service costs 2.9 times more in Iowa than in Kansas. 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· 46th of 51
$263
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.