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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,096.48 | $1,288.25 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $7,585.78 | Facility | None | $2,511.89 | $2,754.23 | $7,585.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $1,174.90 Typical High $2,570.40 | Professional | None | $776.25 | $1,174.90 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
Denver HMP Setting Facility Modifier None Typical Low $616.60 Median $1,288.25 Typical High $2,884.03 | Facility | None | $616.60 | $1,288.25 | $2,884.03 |
Denver HMP Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,862.09 Median $3,388.44 Typical High $5,011.87 | Professional | None | $1,862.09 | $3,388.44 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $5,495.41 | Facility | None | $2,630.27 | $4,897.79 | $5,495.41 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,311.31 | Professional | None | $1,862.09 | $2,630.27 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,071.52 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,479.11 | Professional | None | $870.96 | $954.99 | $1,479.11 |
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 $575.44 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $575.44 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $229.09 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $173.78 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $173.78 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $114.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $1,174.90 Typical High $1,174.90 | Professional | RR · Rental | $117.49 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | UE · Used equipment | $870.96 | $870.96 | $870.96 |
Where Colorado sits
The same service costs 3.1 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· 26th of 51
$1,288
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.