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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,089.30 | Professional | None | $1,949.84 | $1,949.84 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $11,481.54 | Facility | None | $3,801.89 | $4,168.69 | $11,481.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $2,187.76 Typical High $4,786.30 | Professional | None | $1,621.81 | $2,187.76 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,137.96 | Professional | None | $1,584.89 | $1,584.89 | $2,137.96 |
Denver HMP Setting Facility Modifier None Typical Low $1,122.02 Median $2,187.76 Typical High $4,897.79 | Facility | None | $1,122.02 | $2,187.76 | $4,897.79 |
Denver HMP Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $7,943.28 | Professional | None | $2,754.23 | $5,128.61 | $7,943.28 |
Select Health Setting Facility Modifier None Typical Low $3,981.07 Median $7,244.36 Typical High $8,317.64 | Facility | None | $3,981.07 | $7,244.36 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,981.07 Typical High $5,495.41 | Professional | None | $2,754.23 | $3,981.07 | $5,495.41 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $5,623.41 | Facility | None | $1,949.84 | $1,949.84 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,737.80 | $2,630.27 |
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 $977.24 Median $977.24 Typical High $1,047.13 | Professional | 52 · Reduced service | $977.24 | $977.24 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $389.05 Typical High $416.87 | Professional | 53 · Discontinued | $389.05 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $316.23 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $194.98 Typical High $208.93 | Professional | 56 · Pre-op care only | $194.98 | $194.98 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $2,187.76 Typical High $2,187.76 | Professional | RR · Rental | $213.80 | $2,187.76 | $2,187.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $1,621.81 |
Where Colorado sits
The same service costs 2.6 times more in Wisconsin 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
$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.