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 $933.25 Median $1,023.29 Typical High $1,023.29 | Professional | None | $933.25 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $2,187.76 Typical High $5,888.44 | Facility | None | $1,995.26 | $2,187.76 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $724.44 | $1,445.44 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Denver HMP Setting Facility Modifier None Typical Low $501.19 Median $1,023.29 Typical High $2,454.71 | Facility | None | $501.19 | $1,023.29 | $2,454.71 |
Denver HMP Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,445.44 Median $2,691.53 Typical High $3,890.45 | Professional | None | $1,445.44 | $2,691.53 | $3,890.45 |
Select Health Setting Facility Modifier None Typical Low $2,089.30 Median $3,801.89 Typical High $4,365.16 | Facility | None | $2,089.30 | $3,801.89 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,089.30 Typical High $2,570.40 | Professional | None | $1,445.44 | $2,089.30 | $2,570.40 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $1,023.29 | Facility | None | $173.78 | $1,023.29 | $1,023.29 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,174.90 | Professional | None | $691.83 | $776.25 | $1,174.90 |
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 $467.74 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $467.74 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $151.36 Typical High $151.36 | Professional | 55 · Aftercare only | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $93.33 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $169.82 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | UE · Used equipment | $1,096.48 | $1,096.48 | $1,096.48 |
Where Colorado sits
The same service costs 3.2 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· 31st of 51
$1,023
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.