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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $2,344.23 | Facility | None | $776.25 | $851.14 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $912.01 | Professional | None | $245.47 | $416.87 | $912.01 |
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 $398.11 Typical High $977.24 | Facility | None | $190.55 | $398.11 | $977.24 |
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 $1,548.82 | Professional | None | $562.34 | $1,047.13 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $1,513.56 Typical High $1,698.24 | Facility | None | $812.83 | $1,513.56 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,148.15 | Professional | None | $645.65 | $812.83 | $1,148.15 |
United Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $457.09 | Professional | None | $269.15 | $295.12 | $457.09 |
4 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 55 · Aftercare only Typical Low $53.70 Median $60.26 Typical High $60.26 | Professional | 55 · Aftercare only | $53.70 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $39.81 Typical High $39.81 | Professional | 56 · Pre-op care only | $35.48 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $41.69 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $309.03 | $309.03 | $309.03 |
Where Colorado sits
The same service costs 3.7 times more in Alaska 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· 33rd of 51
$398
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.