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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $39.81 | Professional | None | $35.48 | $36.31 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $83.18 Typical High $213.80 | Facility | None | $70.79 | $83.18 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $81.28 | Professional | None | $27.54 | $38.90 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Denver HMP Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $81.28 | Facility | None | $19.95 | $41.69 | $81.28 |
Denver HMP Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $154.88 | Professional | None | $54.95 | $95.50 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $74.13 Median $138.04 Typical High $154.88 | Facility | None | $74.13 | $138.04 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $93.33 | Professional | None | $51.29 | $74.13 | $93.33 |
United Setting Facility Modifier None Typical Low $36.31 Median $37.15 Typical High $37.15 | Facility | None | $36.31 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $46.77 | Professional | None | $27.54 | $30.90 | $46.77 |
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 $18.20 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $18.20 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.94 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.94 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $5.89 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $3.98 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $3.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $3.89 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii 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· 44th of 51
$36.31
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.