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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $707.95 Median $776.25 Typical High $2,137.96 | Facility | None | $707.95 | $776.25 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $891.25 | Professional | None | $309.03 | $416.87 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $426.58 | Professional | None | $309.03 | $309.03 | $426.58 |
Denver HMP Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $933.25 | Facility | None | $218.78 | $416.87 | $933.25 |
Denver HMP Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $512.86 Median $954.99 Typical High $1,479.11 | Professional | None | $512.86 | $954.99 | $1,479.11 |
Select Health Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,548.82 | Facility | None | $741.31 | $1,380.38 | $1,548.82 |
Select Health Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $933.25 | Professional | None | $575.44 | $741.31 | $933.25 |
United Setting Facility Modifier None Typical Low $426.58 Median $457.09 Typical High $457.09 | Facility | None | $426.58 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $524.81 | Professional | None | $309.03 | $338.84 | $524.81 |
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 $181.97 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $181.97 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $53.70 | $53.70 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 56 · Pre-op care only | $36.31 | $36.31 | $41.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $41.69 | $416.87 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | UE · Used equipment | $309.03 | $309.03 | $309.03 |
Where Colorado sits
The same service costs 3.8 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· 43rd of 51
$389
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.