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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,737.80 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $10,715.19 | Facility | None | $3,630.78 | $3,981.07 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $3,801.89 | Professional | None | $1,348.96 | $1,737.80 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Denver HMP Setting Facility Modifier None Typical Low $933.25 Median $1,862.09 Typical High $4,168.69 | Facility | None | $933.25 | $1,862.09 | $4,168.69 |
Denver HMP Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $7,079.46 | Professional | None | $2,630.27 | $4,897.79 | $7,079.46 |
Select Health Setting Facility Modifier None Typical Low $3,801.89 Median $6,918.31 Typical High $7,943.28 | Facility | None | $3,801.89 | $6,918.31 | $7,943.28 |
Select Health Setting Professional Modifier None Typical Low $2,630.27 Median $3,801.89 Typical High $4,677.35 | Professional | None | $2,630.27 | $3,801.89 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,778.28 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,288.25 | $1,445.44 | $2,238.72 |
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 $870.96 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $870.96 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $346.74 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $263.03 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $263.03 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $173.78 | $186.21 | $186.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $1,737.80 Typical High $1,737.80 | Professional | RR · Rental | $173.78 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 32nd of 51
$1,862
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.