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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $5,248.07 | Facility | None | $1,737.80 | $1,949.84 | $5,248.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,778.28 | Professional | None | $537.03 | $812.83 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $870.96 | Professional | None | $630.96 | $630.96 | $870.96 |
Denver HMP Setting Facility Modifier None Typical Low $436.52 Median $891.25 Typical High $2,041.74 | Facility | None | $436.52 | $891.25 | $2,041.74 |
Denver HMP Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,288.25 | $2,398.83 | $3,630.78 |
Select Health Setting Facility Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $3,801.89 | Facility | None | $1,819.70 | $3,388.44 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,570.40 | Professional | None | $1,288.25 | $1,819.70 | $2,570.40 |
United Setting Facility Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,513.56 | Facility | None | $891.25 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $1,023.29 | Professional | None | $602.56 | $676.08 | $1,023.29 |
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 $380.19 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $380.19 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $154.88 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $114.82 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $75.86 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $812.83 Typical High $812.83 | Professional | RR · Rental | $81.28 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
Where Colorado sits
The same service costs 4.0 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
$891
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.