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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,023.29 | $1,174.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $6,025.60 | Facility | None | $1,995.26 | $2,187.76 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $870.96 Median $1,122.02 Typical High $2,630.27 | Professional | None | $870.96 | $1,122.02 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,584.89 | Professional | None | $1,148.15 | $1,148.15 | $1,584.89 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $1,174.90 Typical High $2,630.27 | Facility | None | $588.84 | $1,174.90 | $2,630.27 |
Denver HMP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,479.11 Median $2,691.53 Typical High $4,168.69 | Professional | None | $1,479.11 | $2,691.53 | $4,168.69 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,890.45 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,890.45 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,089.30 Typical High $2,630.27 | Professional | None | $1,479.11 | $2,089.30 | $2,630.27 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,202.26 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,412.54 | Professional | None | $831.76 | $912.01 | $1,412.54 |
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 $512.86 Median $512.86 Typical High $588.84 | Professional | 52 · Reduced service | $512.86 | $512.86 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $204.17 Median $204.17 Typical High $234.42 | Professional | 53 · Discontinued | $204.17 | $204.17 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $154.88 Typical High $177.83 | Professional | 55 · Aftercare only | $154.88 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $102.33 Median $102.33 Typical High $117.49 | Professional | 56 · Pre-op care only | $102.33 | $102.33 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $112.20 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Where Colorado sits
The same service costs 2.8 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· 38th of 51
$1,148
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.