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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $371.54 | Professional | None | $309.03 | $309.03 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $1,819.70 | Facility | None | $616.60 | $676.08 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $1,023.29 | Professional | None | $257.04 | $457.09 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $389.05 | Professional | None | $281.84 | $281.84 | $389.05 |
Denver HMP Setting Facility Modifier None Typical Low $199.53 Median $363.08 Typical High $758.58 | Facility | None | $199.53 | $363.08 | $758.58 |
Denver HMP Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $446.68 Median $831.76 Typical High $1,258.93 | Professional | None | $446.68 | $831.76 | $1,258.93 |
Select Health Setting Facility Modifier None Typical Low $630.96 Median $1,174.90 Typical High $1,348.96 | Facility | None | $630.96 | $1,174.90 | $1,348.96 |
Select Health Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $794.33 | Professional | None | $489.78 | $630.96 | $794.33 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Facility | None | $281.84 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $281.84 Median $309.03 Typical High $478.63 | Professional | None | $281.84 | $309.03 | $478.63 |
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 $154.88 Median $154.88 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $154.88 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | 53 · Discontinued | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | 55 · Aftercare only | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 56 · Pre-op care only | $30.90 | $30.90 | $37.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $45.71 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Where Colorado sits
The same service costs 2.6 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· 47th of 51
$324
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.