How much rates vary
Facilitymedian $2,512 · 10th to 90th $1,288 to $8,511Professionalmedian $2,291 · 10th to 90th $1,820 to $6,026
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,398.83 | Professional | None | $2,290.87 | $2,290.87 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,897.79 Typical High $13,182.57 | Facility | None | $4,466.84 | $4,897.79 | $13,182.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $5,888.44 | Professional | None | $1,819.70 | $2,754.23 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,511.89 | Professional | None | $1,819.70 | $1,819.70 | $2,511.89 |
Denver HMP Setting Facility Modifier None Typical Low $1,288.25 Median $2,570.40 Typical High $5,495.41 | Facility | None | $1,288.25 | $2,570.40 | $5,495.41 |
Denver HMP Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,235.94 Median $6,025.60 Typical High $9,332.54 | Professional | None | $3,235.94 | $6,025.60 | $9,332.54 |
Select Health Setting Facility Modifier None Typical Low $4,570.88 Median $8,511.38 Typical High $9,772.37 | Facility | None | $4,570.88 | $8,511.38 | $9,772.37 |
Select Health Setting Professional Modifier None Typical Low $3,235.94 Median $4,570.88 Typical High $6,456.54 | Professional | None | $3,235.94 | $4,570.88 | $6,456.54 |
United Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Facility | None | $2,187.76 | $2,187.76 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,819.70 | $1,995.26 | $3,090.30 |
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 $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $478.63 | Professional | 53 · Discontinued | $457.09 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | 55 · Aftercare only | $338.84 | $338.84 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | 56 · Pre-op care only | $229.09 | $229.09 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $2,754.23 Typical High $2,754.23 | Professional | RR · Rental | $269.15 | $2,754.23 | $2,754.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
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· 46th of 51
$2,291
HI $4,786DE $1,820
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.