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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,513.56 | Professional | None | $1,202.26 | $1,202.26 | $1,513.56 |
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 $1,071.52 Median $1,412.54 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,412.54 | $3,019.95 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,949.84 | Professional | None | $1,445.44 | $1,445.44 | $1,949.84 |
Denver HMP Setting Facility Modifier None Typical Low $741.31 Median $1,412.54 Typical High $3,090.30 | Facility | None | $741.31 | $1,412.54 | $3,090.30 |
Denver HMP Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $4,897.79 | Professional | None | $1,737.80 | $3,235.94 | $4,897.79 |
Select Health Setting Facility Modifier None Typical Low $2,454.71 Median $4,570.88 Typical High $5,248.07 | Facility | None | $2,454.71 | $4,570.88 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,862.09 | $2,454.71 | $3,090.30 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,096.48 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,148.15 Typical High $1,778.28 | Professional | None | $1,047.13 | $1,148.15 | $1,778.28 |
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 $758.58 | Professional | 52 · Reduced service | $602.56 | $602.56 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $302.00 | Professional | 53 · Discontinued | $245.47 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $181.97 Median $181.97 Typical High $223.87 | Professional | 55 · Aftercare only | $181.97 | $181.97 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | 56 · Pre-op care only | $120.23 | $120.23 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $1,380.38 Typical High $1,380.38 | Professional | RR · Rental | $138.04 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,047.13 |
Where Colorado sits
The same service costs 2.4 times more in Minnesota than in Washington, DC. 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· 37th of 51
$1,445
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.