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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $478.63 | Facility | None | $162.18 | $177.83 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $95.50 Typical High $208.93 | Professional | None | $63.10 | $95.50 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | None | $72.44 | $72.44 | $100.00 |
Denver HMP Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $208.93 | Facility | None | $51.29 | $100.00 | $208.93 |
Denver HMP Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $346.74 | Professional | None | $125.89 | $218.78 | $346.74 |
Select Health Setting Facility Modifier None Typical Low $169.82 Median $309.03 Typical High $354.81 | Facility | None | $169.82 | $309.03 | $354.81 |
Select Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $218.78 | Professional | None | $123.03 | $169.82 | $218.78 |
United Setting Facility Modifier None Typical Low $102.33 Median $107.15 Typical High $107.15 | Facility | None | $102.33 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $123.03 | Professional | None | $72.44 | $79.43 | $123.03 |
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 $41.69 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $14.45 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.55 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $9.55 | $95.50 | $95.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Where Colorado sits
The same service costs 4.1 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· 42nd of 51
$91.20
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.