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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,884.03 | Professional | None | $2,398.83 | $2,398.83 | $2,884.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,248.07 Typical High $14,125.38 | Facility | None | $4,786.30 | $5,248.07 | $14,125.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,951.21 Typical High $6,760.83 | Professional | None | $2,041.74 | $2,951.21 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Denver HMP Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $5,888.44 | Facility | None | $1,548.82 | $2,818.38 | $5,888.44 |
Denver HMP Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $9,772.37 | Professional | None | $3,467.37 | $6,456.54 | $9,772.37 |
Select Health Setting Facility Modifier None Typical Low $4,897.79 Median $9,120.11 Typical High $10,471.29 | Facility | None | $4,897.79 | $9,120.11 | $10,471.29 |
Select Health Setting Professional Modifier None Typical Low $3,630.78 Median $4,897.79 Typical High $6,606.93 | Professional | None | $3,630.78 | $4,897.79 | $6,606.93 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $4,365.16 | Facility | None | $3,235.94 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $2,398.83 Typical High $3,715.35 | Professional | None | $2,187.76 | $2,398.83 | $3,715.35 |
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 $1,202.26 Median $1,202.26 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | 53 · Discontinued | $478.63 | $478.63 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $239.88 Typical High $288.40 | Professional | 56 · Pre-op care only | $239.88 | $239.88 | $288.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $2,951.21 Typical High $2,951.21 | Professional | RR · Rental | $295.12 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,238.72 |
Where Colorado sits
The same service costs 4.3 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· 41st of 51
$2,754
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.