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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | None | $295.12 | $295.12 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $1,737.80 | Facility | None | $575.44 | $630.96 | $1,737.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $776.25 | Professional | None | $239.88 | $363.08 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $758.58 | Facility | None | $190.55 | $371.54 | $758.58 |
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 $426.58 Median $776.25 Typical High $1,202.26 | Professional | None | $426.58 | $776.25 | $1,202.26 |
Select Health Setting Facility Modifier None Typical Low $602.56 Median $1,122.02 Typical High $1,258.93 | Facility | None | $602.56 | $1,122.02 | $1,258.93 |
Select Health Setting Professional Modifier None Typical Low $426.58 Median $602.56 Typical High $812.83 | Professional | None | $426.58 | $602.56 | $812.83 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $457.09 | Professional | None | $269.15 | $295.12 | $457.09 |
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 $147.91 Typical High $190.55 | Professional | 52 · Reduced service | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 53 · Discontinued | $58.88 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $36.31 | $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 3.7 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· 43rd of 51
$331
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.