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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | None | $398.11 | $446.68 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $870.96 Median $977.24 Typical High $2,630.27 | Facility | None | $870.96 | $977.24 | $2,630.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $1,000.00 | Professional | None | $295.12 | $457.09 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $446.68 | Professional | None | $331.13 | $331.13 | $446.68 |
Denver HMP Setting Facility Modifier None Typical Low $229.09 Median $446.68 Typical High $1,148.15 | Facility | None | $229.09 | $446.68 | $1,148.15 |
Denver HMP Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $645.65 Median $1,202.26 Typical High $1,737.80 | Professional | None | $645.65 | $1,202.26 | $1,737.80 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $1,698.24 Typical High $1,905.46 | Facility | None | $912.01 | $1,698.24 | $1,905.46 |
Select Health Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,288.25 | Professional | None | $645.65 | $912.01 | $1,288.25 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,148.15 | Facility | None | $467.74 | $467.74 | $1,148.15 |
United Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $537.03 | Professional | None | $316.23 | $354.81 | $537.03 |
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 $199.53 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $39.81 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $45.71 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $338.84 | $338.84 | $338.84 |
Where Colorado sits
The same service costs 2.8 times more in Iowa 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· 38th of 51
$447
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.