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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $346.74 Typical High $346.74 | Professional | None | $275.42 | $346.74 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $676.08 Median $758.58 Typical High $2,041.74 | Facility | None | $676.08 | $758.58 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $316.23 Typical High $691.83 | Professional | None | $208.93 | $316.23 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $338.84 | Professional | None | $245.47 | $245.47 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $169.82 Median $346.74 Typical High $794.33 | Facility | None | $169.82 | $346.74 | $794.33 |
Denver HMP Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $933.25 Typical High $1,348.96 | Professional | None | $501.19 | $933.25 | $1,348.96 |
Select Health Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $1,479.11 | Facility | None | $707.95 | $1,318.26 | $1,479.11 |
Select Health Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $1,000.00 | Professional | None | $467.74 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $263.03 Median $363.08 Typical High $363.08 | Facility | None | $263.03 | $363.08 | $363.08 |
United Setting Professional Modifier None Typical Low $234.42 Median $263.03 Typical High $398.11 | Professional | None | $234.42 | $263.03 | $398.11 |
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 $147.91 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $147.91 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $60.26 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 55 · Aftercare only | $44.67 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $34.67 Typical High $34.67 | Professional | 56 · Pre-op care only | $29.51 | $34.67 | $34.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $31.62 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $31.62 | $316.23 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Colorado sits
The same service costs 2.8 times more in Wyoming 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
$347
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.