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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | None | $288.40 | $288.40 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $1,698.24 | Facility | None | $562.34 | $630.96 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $812.83 | Professional | None | $281.84 | $354.81 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $363.08 Typical High $741.31 | Facility | None | $186.21 | $363.08 | $741.31 |
Denver HMP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $776.25 Typical High $1,174.90 | Professional | None | $416.87 | $776.25 | $1,174.90 |
Select Health Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,230.27 | Facility | None | $588.84 | $1,096.48 | $1,230.27 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $741.31 | Professional | None | $478.63 | $588.84 | $741.31 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $288.40 | Facility | None | $229.09 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $446.68 | Professional | None | $263.03 | $288.40 | $446.68 |
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 $144.54 Median $144.54 Typical High $190.55 | Professional | 52 · Reduced service | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | 53 · Discontinued | $57.54 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $57.54 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | 56 · Pre-op care only | $28.84 | $28.84 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $35.48 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $263.03 | $263.03 | $263.03 |
Where Colorado sits
The same service costs 2.3 times more in Wisconsin 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· 44th of 51
$363
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.