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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | None | $1,174.90 | $1,174.90 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $6,918.31 | Facility | None | $2,290.87 | $2,570.40 | $6,918.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $1,288.25 Typical High $2,818.38 | Professional | None | $912.01 | $1,288.25 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Denver HMP Setting Facility Modifier None Typical Low $676.08 Median $1,318.26 Typical High $2,884.03 | Facility | None | $676.08 | $1,318.26 | $2,884.03 |
Denver HMP Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $4,786.30 | Professional | None | $1,698.24 | $3,162.28 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $2,398.83 Median $4,466.84 Typical High $5,011.87 | Facility | None | $2,398.83 | $4,466.84 | $5,011.87 |
Select Health Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,019.95 | Professional | None | $1,698.24 | $2,398.83 | $3,019.95 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $1,380.38 | Facility | None | $776.25 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None Typical Low $933.25 Median $1,047.13 Typical High $1,621.81 | Professional | None | $933.25 | $1,047.13 | $1,621.81 |
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 $588.84 Median $588.84 Typical High $630.96 | Professional | 52 · Reduced service | $588.84 | $588.84 | $630.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $234.42 Typical High $251.19 | Professional | 53 · Discontinued | $234.42 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | 55 · Aftercare only | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $125.89 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $125.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $128.82 Median $1,288.25 Typical High $1,288.25 | Professional | RR · Rental | $128.82 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $954.99 | $954.99 | $954.99 |
Where Colorado sits
The same service costs 2.7 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
$1,202
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.