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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $954.99 Typical High $954.99 | Professional | None | $851.14 | $954.99 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,089.30 Typical High $5,623.41 | Facility | None | $1,862.09 | $2,089.30 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $676.08 Median $891.25 Typical High $1,905.46 | Professional | None | $676.08 | $891.25 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $1,202.26 | Professional | None | $870.96 | $870.96 | $1,202.26 |
Denver HMP Setting Facility Modifier None Typical Low $467.74 Median $954.99 Typical High $2,187.76 | Facility | None | $467.74 | $954.99 | $2,187.76 |
Denver HMP Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $3,715.35 | Professional | None | $1,380.38 | $2,570.40 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $1,949.84 Median $3,630.78 Typical High $4,073.80 | Facility | None | $1,949.84 | $3,630.78 | $4,073.80 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,949.84 | $2,754.23 |
United Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $724.44 | Facility | None | $457.09 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $645.65 Median $724.44 Typical High $1,096.48 | Professional | None | $645.65 | $724.44 | $1,096.48 |
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 $436.52 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $436.52 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $173.78 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $144.54 Typical High $144.54 | Professional | 55 · Aftercare only | $128.82 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $87.10 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $87.10 Median $891.25 Typical High $891.25 | Professional | RR · Rental | $87.10 | $891.25 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Where Colorado sits
The same service costs 2.6 times more in Montana 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· 30th of 51
$955
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.