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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,230.27 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $7,244.36 | Facility | None | $2,398.83 | $2,630.27 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,454.71 | Professional | None | $794.33 | $1,122.02 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $1,230.27 Typical High $2,754.23 | Facility | None | $588.84 | $1,230.27 | $2,754.23 |
Denver HMP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $4,786.30 | Professional | None | $1,737.80 | $3,235.94 | $4,786.30 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $5,248.07 | Facility | None | $2,511.89 | $4,677.35 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,511.89 | $3,467.37 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,230.27 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,412.54 | Professional | None | $831.76 | $912.01 | $1,412.54 |
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 $524.81 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $524.81 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $208.93 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $154.88 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $104.71 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $1,122.02 Typical High $1,122.02 | Professional | RR · Rental | $112.20 | $1,122.02 | $1,122.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Where Colorado sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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
$1,230
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.