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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $269.15 Typical High $269.15 | Professional | None | $239.88 | $269.15 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $575.44 Typical High $1,584.89 | Facility | None | $524.81 | $575.44 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $323.59 Typical High $691.83 | Professional | None | $169.82 | $323.59 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $263.03 | Professional | None | $190.55 | $190.55 | $263.03 |
Denver HMP Setting Facility Modifier None Typical Low $128.82 Median $269.15 Typical High $660.69 | Facility | None | $128.82 | $269.15 | $660.69 |
Denver HMP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $380.19 Median $707.95 Typical High $1,047.13 | Professional | None | $380.19 | $707.95 | $1,047.13 |
Select Health Setting Facility Modifier None Typical Low $549.54 Median $1,023.29 Typical High $1,148.15 | Facility | None | $549.54 | $1,023.29 | $1,148.15 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $776.25 | Professional | None | $380.19 | $549.54 | $776.25 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $660.69 | Facility | None | $263.03 | $263.03 | $660.69 |
United Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $309.03 | Professional | None | $181.97 | $199.53 | $309.03 |
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 $120.23 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $23.99 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $32.36 Median $331.13 Typical High $331.13 | Professional | RR · Rental | $32.36 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | UE · Used equipment | $239.88 | $239.88 | $239.88 |
Where Colorado sits
The same service costs 3.0 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· 34th of 51
$269
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.