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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Professional | None | $1,698.24 | $1,698.24 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,311.31 Median $3,630.78 Typical High $10,000.00 | Facility | None | $3,311.31 | $3,630.78 | $10,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,380.38 Median $1,949.84 Typical High $4,168.69 | Professional | None | $1,380.38 | $1,949.84 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,819.70 | $2,630.27 |
Denver HMP Setting Facility Modifier None Typical Low $1,023.29 Median $2,041.74 Typical High $4,073.80 | Facility | None | $1,023.29 | $2,041.74 | $4,073.80 |
Denver HMP Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,398.83 Median $4,466.84 Typical High $6,918.31 | Professional | None | $2,398.83 | $4,466.84 | $6,918.31 |
Select Health Setting Facility Modifier None Typical Low $3,467.37 Median $6,456.54 Typical High $7,244.36 | Facility | None | $3,467.37 | $6,456.54 | $7,244.36 |
Select Health Setting Professional Modifier None Typical Low $2,570.40 Median $3,467.37 Typical High $4,365.16 | Professional | None | $2,570.40 | $3,467.37 | $4,365.16 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,445.44 | $1,584.89 | $2,454.71 |
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 $851.14 Median $851.14 Typical High $977.24 | Professional | 52 · Reduced service | $851.14 | $851.14 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $338.84 Typical High $389.05 | Professional | 53 · Discontinued | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | 55 · Aftercare only | $257.04 | $257.04 | $288.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $169.82 Median $169.82 Typical High $194.98 | Professional | 56 · Pre-op care only | $169.82 | $169.82 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $1,949.84 Typical High $1,949.84 | Professional | RR · Rental | $194.98 | $1,949.84 | $1,949.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
Where Colorado sits
The same service costs 2.4 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· 48th of 51
$1,820
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.