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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | None | $645.65 | $645.65 | $776.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,380.38 Typical High $3,801.89 | Facility | None | $1,258.93 | $1,380.38 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $2,238.72 | Professional | None | $524.81 | $794.33 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
Denver HMP Setting Facility Modifier None Typical Low $416.87 Median $812.83 Typical High $1,659.59 | Facility | None | $416.87 | $812.83 | $1,659.59 |
Denver HMP Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $912.01 Median $1,698.24 Typical High $2,630.27 | Professional | None | $912.01 | $1,698.24 | $2,630.27 |
Select Health Setting Facility Modifier None Typical Low $1,318.26 Median $2,454.71 Typical High $2,754.23 | Facility | None | $1,318.26 | $2,454.71 | $2,754.23 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,096.48 | $1,318.26 | $1,819.70 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $676.08 | Facility | None | $575.44 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $1,000.00 | Professional | None | $575.44 | $645.65 | $1,000.00 |
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 $323.59 Median $323.59 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $323.59 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $79.43 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $79.43 | $794.33 | $794.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Where Colorado sits
The same service costs 2.3 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
$676
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.