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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | None | $245.47 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $575.44 Typical High $1,584.89 | Facility | None | $524.81 | $575.44 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $575.44 | Professional | None | $173.78 | $263.03 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $269.15 | Professional | None | $199.53 | $199.53 | $269.15 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $602.56 | Facility | None | $141.25 | $275.42 | $602.56 |
Denver HMP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $1,047.13 | Professional | None | $380.19 | $707.95 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,148.15 | Facility | None | $549.54 | $1,023.29 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $691.83 | Professional | None | $380.19 | $549.54 | $691.83 |
United Setting Facility Modifier None Typical Low $281.84 Median $288.40 Typical High $288.40 | Facility | None | $281.84 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $331.13 | Professional | None | $194.98 | $218.78 | $331.13 |
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 $123.03 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $37.15 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $24.55 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $26.30 | $263.03 | $263.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
Where Colorado sits
The same service costs 3.3 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· 31st of 51
$269
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.