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 $309.03 Median $389.05 Typical High $389.05 | Professional | None | $309.03 | $389.05 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $758.58 Median $851.14 Typical High $2,290.87 | Facility | None | $758.58 | $851.14 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $363.08 Typical High $776.25 | Professional | None | $234.42 | $363.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $380.19 | Professional | None | $275.42 | $275.42 | $380.19 |
Denver HMP Setting Facility Modifier None Typical Low $190.55 Median $389.05 Typical High $870.96 | Facility | None | $190.55 | $389.05 | $870.96 |
Denver HMP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,513.56 | Professional | None | $562.34 | $1,047.13 | $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 $346.74 Median $389.05 Typical High $389.05 | Facility | None | $346.74 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $446.68 | Professional | None | $263.03 | $295.12 | $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 $165.96 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $165.96 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $66.07 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | 55 · Aftercare only | $50.12 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 56 · Pre-op care only | $33.11 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $35.48 | $363.08 | $363.08 |
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 3.2 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· 27th 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.