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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $389.05 | Professional | None | $371.54 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $831.76 Typical High $2,290.87 | Facility | None | $758.58 | $831.76 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $794.33 | Professional | None | $281.84 | $354.81 | $794.33 |
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 $371.54 Median $371.54 Typical High $501.19 | Professional | None | $371.54 | $371.54 | $501.19 |
Denver HMP Setting Facility Modifier None Typical Low $186.21 Median $389.05 Typical High $870.96 | Facility | None | $186.21 | $389.05 | $870.96 |
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 $562.34 Median $1,023.29 Typical High $1,513.56 | Professional | None | $562.34 | $1,023.29 | $1,513.56 |
Select Health Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $1,659.59 | Facility | None | $794.33 | $1,479.11 | $1,659.59 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $794.33 Typical High $1,122.02 | Professional | None | $562.34 | $794.33 | $1,122.02 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
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 $186.21 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $186.21 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $37.15 | $38.90 | $38.90 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | UE · Used equipment | $269.15 | $269.15 | $269.15 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Washington, DC. 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· 30th of 51
$389
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.