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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,905.46 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,715.35 Median $4,073.80 Typical High $11,220.18 | Facility | None | $3,715.35 | $4,073.80 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $2,041.74 Typical High $5,011.87 | Professional | None | $1,513.56 | $2,041.74 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Denver HMP Setting Facility Modifier None Typical Low $1,096.48 Median $2,137.96 Typical High $4,570.88 | Facility | None | $1,096.48 | $2,137.96 | $4,570.88 |
Denver HMP Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $7,762.47 | Professional | None | $2,691.53 | $5,011.87 | $7,762.47 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $8,128.31 | Facility | None | $3,890.45 | $7,244.36 | $8,128.31 |
Select Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,890.45 Typical High $4,897.79 | Professional | None | $2,691.53 | $3,890.45 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $5,495.41 | Facility | None | $1,819.70 | $1,819.70 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,513.56 | $1,698.24 | $2,630.27 |
4 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 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $302.00 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $2,041.74 Typical High $2,041.74 | Professional | RR · Rental | $204.17 | $2,041.74 | $2,041.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Where Colorado sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 49th of 51
$1,950
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.