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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | None | $218.78 | $218.78 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,288.25 | Facility | None | $426.58 | $467.74 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $575.44 | Professional | None | $173.78 | $263.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $275.42 | Professional | None | $199.53 | $199.53 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $549.54 | Facility | None | $141.25 | $275.42 | $549.54 |
Denver HMP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $575.44 Typical High $891.25 | Professional | None | $323.59 | $575.44 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $812.83 Typical High $933.25 | Facility | None | $446.68 | $812.83 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $549.54 | Professional | None | $331.13 | $446.68 | $549.54 |
United Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $229.09 | Facility | None | $190.55 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $331.13 | Professional | None | $194.98 | $218.78 | $331.13 |
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 $109.65 Median $109.65 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $43.65 | $43.65 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 55 · Aftercare only | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $26.92 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $26.30 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii than in Florida. 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· 49th of 51
$229
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.