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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | None | $245.47 | $257.04 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,479.11 | Facility | None | $501.19 | $549.54 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $173.78 Median $269.15 Typical High $588.84 | Professional | None | $173.78 | $269.15 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Denver HMP Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $602.56 | Facility | None | $138.04 | $275.42 | $602.56 |
Denver HMP Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $363.08 Median $676.08 Typical High $1,047.13 | Professional | None | $363.08 | $676.08 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $1,096.48 | Facility | None | $524.81 | $954.99 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $645.65 | Professional | None | $363.08 | $524.81 | $645.65 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $389.05 | Facility | None | $288.40 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $194.98 Median $213.80 Typical High $331.13 | Professional | None | $194.98 | $213.80 | $331.13 |
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 $123.03 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $123.03 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $48.98 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $38.02 Typical High $38.02 | Professional | 55 · Aftercare only | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $25.70 Typical High $25.70 | Professional | 56 · Pre-op care only | $24.55 | $25.70 | $25.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $26.92 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | UE · Used equipment | $199.53 | $199.53 | $199.53 |
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· 40th of 51
$257
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.