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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | None | $346.74 | $346.74 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $2,041.74 | Facility | None | $676.08 | $741.31 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $870.96 | Professional | None | $269.15 | $398.11 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $416.87 Typical High $870.96 | Facility | None | $208.93 | $416.87 | $870.96 |
Denver HMP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,348.96 | Professional | None | $489.78 | $912.01 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $1,288.25 Typical High $1,479.11 | Facility | None | $707.95 | $1,288.25 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $707.95 Typical High $870.96 | Professional | None | $489.78 | $707.95 | $870.96 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $323.59 | Facility | None | $165.96 | $323.59 | $323.59 |
United Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $501.19 | Professional | None | $295.12 | $323.59 | $501.19 |
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 $173.78 Median $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $173.78 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 53 · Discontinued | $69.18 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | 55 · Aftercare only | $51.29 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | 56 · Pre-op care only | $34.67 | $34.67 | $40.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $398.11 Typical High $398.11 | Professional | RR · Rental | $39.81 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Colorado sits
The same service costs 2.4 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
$355
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.