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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | None | $354.81 | $354.81 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $2,089.30 | Facility | None | $691.83 | $758.58 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $380.19 Typical High $851.14 | Professional | None | $295.12 | $380.19 | $851.14 |
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 $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $912.01 | Facility | None | $204.17 | $407.38 | $912.01 |
Denver HMP Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $1,445.44 | Professional | None | $512.86 | $933.25 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $724.44 Median $1,348.96 Typical High $1,513.56 | Facility | None | $724.44 | $1,348.96 | $1,513.56 |
Select Health Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,023.29 | Professional | None | $512.86 | $724.44 | $1,023.29 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,023.29 | Facility | None | $363.08 | $363.08 | $1,023.29 |
United Setting Professional Modifier None Typical Low $281.84 Median $316.23 Typical High $489.78 | Professional | None | $281.84 | $316.23 | $489.78 |
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 $177.83 Median $177.83 Typical High $194.98 | Professional | 52 · Reduced service | $177.83 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | 53 · Discontinued | $70.79 | $70.79 | $77.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 56 · Pre-op care only | $35.48 | $35.48 | $38.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $38.02 | $380.19 | $380.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $288.40 | $288.40 | $288.40 |
Where Colorado sits
The same service costs 2.8 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· 45th of 51
$363
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.