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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $10,232.93 | Facility | None | $3,388.44 | $3,715.35 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,819.70 Typical High $3,715.35 | Professional | None | $1,318.26 | $1,819.70 | $3,715.35 |
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 $912.01 Median $1,819.70 Typical High $3,890.45 | Facility | None | $912.01 | $1,819.70 | $3,890.45 |
Denver HMP Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $6,760.83 | Professional | None | $2,454.71 | $4,570.88 | $6,760.83 |
Select Health Setting Facility Modifier None Typical Low $3,548.13 Median $6,606.93 Typical High $7,413.10 | Facility | None | $3,548.13 | $6,606.93 | $7,413.10 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $4,466.84 | Professional | None | $2,454.71 | $3,548.13 | $4,466.84 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,230.27 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,412.54 | $2,187.76 |
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 $831.76 Median $870.96 Typical High $870.96 | Professional | 52 · Reduced service | $831.76 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $338.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $169.82 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $181.97 Median $1,819.70 Typical High $1,819.70 | Professional | RR · Rental | $181.97 | $1,819.70 | $1,819.70 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | UE · Used equipment | $1,348.96 | $1,348.96 | $1,348.96 |
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· 37th of 51
$1,738
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.