How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,175 to $7,762Professionalmedian $2,042 · 10th to 90th $1,660 to $5,370
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,187.76 | Professional | None | $2,041.74 | $2,041.74 | $2,187.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $12,022.64 | Facility | None | $3,981.07 | $4,365.16 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $5,370.32 | Professional | None | $1,621.81 | $2,290.87 | $5,370.32 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,659.59 | $1,659.59 | $2,290.87 |
Denver HMP Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,344.23 | $4,897.79 |
Denver HMP Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,951.21 Median $5,370.32 Typical High $8,317.64 | Professional | None | $2,951.21 | $5,370.32 | $8,317.64 |
Select Health Setting Facility Modifier None Typical Low $4,168.69 Median $7,762.47 Typical High $8,709.64 | Facility | None | $4,168.69 | $7,762.47 | $8,709.64 |
Select Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $5,888.44 | Professional | None | $2,951.21 | $4,168.69 | $5,888.44 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $6,025.60 | Facility | None | $1,995.26 | $1,995.26 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,659.59 | $1,819.70 | $2,818.38 |
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 $1,023.29 Median $1,023.29 Typical High $1,096.48 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 53 · Discontinued | $407.38 | $407.38 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $309.03 Typical High $331.13 | Professional | 55 · Aftercare only | $309.03 | $309.03 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | 56 · Pre-op care only | $204.17 | $204.17 | $218.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $2,290.87 Typical High $2,290.87 | Professional | RR · Rental | $218.78 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,659.59 |
Where Colorado sits
The same service costs 2.5 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
$2,042
HI $4,365DE $1,738
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.