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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $562.34 | Professional | None | $478.63 | $562.34 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $3,311.31 | Facility | None | $1,122.02 | $1,230.27 | $3,311.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,148.15 | Professional | None | $380.19 | $537.03 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None | $446.68 | $446.68 | $616.60 |
Denver HMP Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $1,288.25 | Facility | None | $281.84 | $562.34 | $1,288.25 |
Denver HMP Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $812.83 Median $1,513.56 Typical High $2,187.76 | Professional | None | $812.83 | $1,513.56 | $2,187.76 |
Select Health Setting Facility Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $2,454.71 | Facility | None | $1,148.15 | $2,137.96 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,445.44 | Professional | None | $812.83 | $1,148.15 | $1,445.44 |
United Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $707.95 | Facility | None | $588.84 | $707.95 | $707.95 |
United Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $676.08 | Professional | None | $398.11 | $436.52 | $676.08 |
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 $263.03 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $263.03 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $104.71 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 55 · Aftercare only | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $56.23 Typical High $56.23 | Professional | 56 · Pre-op care only | $52.48 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $537.03 Typical High $537.03 | Professional | RR · Rental | $53.70 | $537.03 | $537.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | UE · Used equipment | $398.11 | $398.11 | $398.11 |
Where Colorado sits
The same service costs 3.7 times more in Hawaii than in Tennessee. 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· 31st of 51
$562
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.