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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $691.83 | Professional | None | $660.69 | $660.69 | $691.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $3,890.45 | Facility | None | $1,288.25 | $1,412.54 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $1,737.80 | Professional | None | $524.81 | $794.33 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
Denver HMP Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $1,584.89 | Facility | None | $371.54 | $741.31 | $1,584.89 |
Denver HMP Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $933.25 Median $1,737.80 Typical High $2,691.53 | Professional | None | $933.25 | $1,737.80 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,454.71 Typical High $2,818.38 | Facility | None | $1,348.96 | $2,454.71 | $2,818.38 |
Select Health Setting Professional Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,862.09 | Professional | None | $933.25 | $1,348.96 | $1,862.09 |
United 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 |
United Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $891.25 | Professional | None | $524.81 | $575.44 | $891.25 |
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 $97.72 Median $97.72 Typical High $104.71 | Professional | 55 · Aftercare only | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | 56 · Pre-op care only | $66.07 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $77.62 | $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 2.4 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
$661
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.