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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | None | $1,230.27 | $1,230.27 | $1,288.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,630.27 Typical High $7,079.46 | Facility | None | $2,398.83 | $2,630.27 | $7,079.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,445.44 Typical High $3,162.28 | Professional | None | $977.24 | $1,445.44 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Denver HMP Setting Facility Modifier None Typical Low $691.83 Median $1,380.38 Typical High $2,951.21 | Facility | None | $691.83 | $1,380.38 | $2,951.21 |
Denver HMP Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $5,011.87 | Professional | None | $1,737.80 | $3,235.94 | $5,011.87 |
Select Health Setting Facility Modifier None Typical Low $2,511.89 Median $4,570.88 Typical High $5,248.07 | Facility | None | $2,511.89 | $4,570.88 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $1,737.80 Median $2,511.89 Typical High $3,467.37 | Professional | None | $1,737.80 | $2,511.89 | $3,467.37 |
United Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,659.59 | Professional | None | $977.24 | $1,071.52 | $1,659.59 |
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 $602.56 Median $602.56 Typical High $645.65 | Professional | 52 · Reduced service | $602.56 | $602.56 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 53 · Discontinued | $245.47 | $245.47 | $257.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | 56 · Pre-op care only | $123.03 | $123.03 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $144.54 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | UE · Used equipment | $1,096.48 | $1,096.48 | $1,096.48 |
Where Colorado sits
The same service costs 2.6 times more in Montana 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
$1,230
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.