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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $125.89 | Professional | None | $120.23 | $120.23 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $263.03 Typical High $707.95 | Facility | None | $239.88 | $263.03 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $288.40 | Professional | None | $89.13 | $134.90 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $138.04 Typical High $295.12 | Facility | None | $70.79 | $138.04 | $295.12 |
Denver HMP Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $323.59 Typical High $489.78 | Professional | None | $181.97 | $323.59 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $524.81 | Facility | None | $245.47 | $457.09 | $524.81 |
Select Health Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $309.03 | Professional | None | $190.55 | $245.47 | $309.03 |
United Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $158.49 | Facility | None | $144.54 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $97.72 Median $109.65 Typical High $165.96 | Professional | None | $97.72 | $109.65 | $165.96 |
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 $60.26 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $60.26 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | 53 · Discontinued | $24.55 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $18.20 Typical High $19.05 | Professional | 55 · Aftercare only | $18.20 | $18.20 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $12.02 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.02 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $13.18 | $134.90 | $134.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
Where Colorado sits
The same service costs 3.7 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· 42nd of 51
$123
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.