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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,659.59 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,715.35 Typical High $10,000.00 | Facility | None | $3,388.44 | $3,715.35 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $3,801.89 | Professional | None | $1,148.15 | $1,698.24 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,041.74 | Professional | None | $1,513.56 | $1,513.56 | $2,041.74 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $3,890.45 | Facility | None | $912.01 | $1,819.70 | $3,890.45 |
Denver HMP Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $6,918.31 | Professional | None | $2,454.71 | $4,570.88 | $6,918.31 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $7,413.10 | Facility | None | $3,467.37 | $6,456.54 | $7,413.10 |
Select Health Setting Professional Modifier None Typical Low $2,454.71 Median $3,467.37 Typical High $4,365.16 | Professional | None | $2,454.71 | $3,467.37 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,412.54 | $2,187.76 |
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 $831.76 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $831.76 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $331.13 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $251.19 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $165.96 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $169.82 | $1,698.24 | $1,698.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
Where Colorado sits
The same service costs 3.1 times more in Hawaii than in Pennsylvania. 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· 35th of 51
$1,738
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.