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 $112.20 Median $120.23 Typical High $120.23 | Professional | None | $112.20 | $120.23 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $691.83 | Facility | None | $234.42 | $257.04 | $691.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $263.03 | Professional | None | $79.43 | $120.23 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
Denver HMP Setting Facility Modifier None Typical Low $63.10 Median $128.82 Typical High $269.15 | Facility | None | $63.10 | $128.82 | $269.15 |
Denver HMP Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $457.09 | Professional | None | $177.83 | $316.23 | $457.09 |
Select Health Setting Facility Modifier None Typical Low $245.47 Median $446.68 Typical High $512.86 | Facility | None | $245.47 | $446.68 | $512.86 |
Select Health Setting Professional Modifier None Typical Low $169.82 Median $245.47 Typical High $302.00 | Professional | None | $169.82 | $245.47 | $302.00 |
United Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $131.83 | Facility | None | $107.15 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $151.36 | Professional | None | $89.13 | $97.72 | $151.36 |
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 $57.54 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $22.91 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $12.02 Typical High $12.02 | Professional | 56 · Pre-op care only | $11.48 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.02 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $12.02 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $89.13 | $89.13 | $89.13 |
Where Colorado sits
The same service costs 3.0 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· 40th of 51
$120
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.