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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,570.40 | Professional | None | $2,454.71 | $2,454.71 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $5,248.07 Typical High $14,454.40 | Facility | None | $4,786.30 | $5,248.07 | $14,454.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $6,456.54 | Professional | None | $1,949.84 | $2,884.03 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,884.03 | Professional | None | $2,089.30 | $2,089.30 | $2,884.03 |
Denver HMP Setting Facility Modifier None Typical Low $1,380.38 Median $2,754.23 Typical High $5,888.44 | Facility | None | $1,380.38 | $2,754.23 | $5,888.44 |
Denver HMP Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $10,000.00 | Professional | None | $3,467.37 | $6,456.54 | $10,000.00 |
Select Health Setting Facility Modifier None Typical Low $5,011.87 Median $9,120.11 Typical High $10,471.29 | Facility | None | $5,011.87 | $9,120.11 | $10,471.29 |
Select Health Setting Professional Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $6,918.31 | Professional | None | $3,467.37 | $5,011.87 | $6,918.31 |
United Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,949.84 | $2,137.96 | $3,311.31 |
4 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 55 · Aftercare only Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | 55 · Aftercare only | $363.08 | $363.08 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 56 · Pre-op care only | $245.47 | $245.47 | $257.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $288.40 Median $2,884.03 Typical High $2,884.03 | Professional | RR · Rental | $288.40 | $2,884.03 | $2,884.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | UE · Used equipment | $2,187.76 | $2,187.76 | $2,187.76 |
Where Colorado sits
The same service costs 2.4 times more in Montana 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· 47th of 51
$2,455
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.