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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,737.80 | Professional | None | $1,621.81 | $1,621.81 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $9,332.54 | Facility | None | $3,162.28 | $3,467.37 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $3,311.31 | Professional | None | $1,096.48 | $1,513.56 | $3,311.31 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,548.82 | Professional | None | $1,122.02 | $1,122.02 | $1,548.82 |
Denver HMP Setting Facility Modifier None Typical Low $794.33 Median $1,621.81 Typical High $4,073.80 | Facility | None | $794.33 | $1,621.81 | $4,073.80 |
Denver HMP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $6,165.95 | Professional | None | $2,290.87 | $4,265.80 | $6,165.95 |
Select Health Setting Facility Modifier None Typical Low $3,311.31 Median $6,025.60 Typical High $6,918.31 | Facility | None | $3,311.31 | $6,025.60 | $6,918.31 |
Select Health Setting Professional Modifier None Typical Low $2,290.87 Median $3,311.31 Typical High $4,073.80 | Professional | None | $2,290.87 | $3,311.31 | $4,073.80 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,479.11 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $1,905.46 | Professional | None | $1,122.02 | $1,230.27 | $1,905.46 |
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 $812.83 Median $812.83 Typical High $870.96 | Professional | 52 · Reduced service | $812.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | 53 · Discontinued | $323.59 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | 55 · Aftercare only | $239.88 | $239.88 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $162.18 Median $162.18 Typical High $173.78 | Professional | 56 · Pre-op care only | $162.18 | $162.18 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $151.36 Median $1,513.56 Typical High $1,513.56 | Professional | RR · Rental | $151.36 | $1,513.56 | $1,513.56 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
Where Colorado sits
The same service costs 3.0 times more in Iowa 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· 27th of 51
$1,622
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.