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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,513.56 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,019.95 Median $3,311.31 Typical High $9,120.11 | Facility | None | $3,019.95 | $3,311.31 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,479.11 Typical High $3,162.28 | Professional | None | $1,000.00 | $1,479.11 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $776.25 Median $1,548.82 Typical High $3,548.13 | Facility | None | $776.25 | $1,548.82 | $3,548.13 |
Denver HMP Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $4,073.80 Typical High $6,025.60 | Professional | None | $2,187.76 | $4,073.80 | $6,025.60 |
Select Health Setting Facility Modifier None Typical Low $3,162.28 Median $5,754.40 Typical High $6,606.93 | Facility | None | $3,162.28 | $5,754.40 | $6,606.93 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $3,890.45 | Professional | None | $2,187.76 | $3,162.28 | $3,890.45 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,412.54 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,202.26 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,202.26 | $1,862.09 |
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 $741.31 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $741.31 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $302.00 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $151.36 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $147.91 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Colorado sits
The same service costs 2.7 times more in Hawaii than in Maryland. 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· 33rd of 51
$1,549
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.