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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $7,413.10 | Facility | None | $2,454.71 | $2,691.53 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,174.90 Median $1,479.11 Typical High $3,235.94 | Professional | None | $1,174.90 | $1,479.11 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None | $1,318.26 | $1,318.26 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $794.33 Median $1,445.44 Typical High $3,162.28 | Facility | None | $794.33 | $1,445.44 | $3,162.28 |
Denver HMP Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,778.28 Median $3,311.31 Typical High $5,128.61 | Professional | None | $1,778.28 | $3,311.31 | $5,128.61 |
Select Health Setting Facility Modifier None Typical Low $2,570.40 Median $4,677.35 Typical High $5,370.32 | Facility | None | $2,570.40 | $4,677.35 | $5,370.32 |
Select Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $3,311.31 | Professional | None | $1,905.46 | $2,570.40 | $3,311.31 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,096.48 | $1,230.27 | $1,862.09 |
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 $630.96 Median $630.96 Typical High $794.33 | Professional | 52 · Reduced service | $630.96 | $630.96 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | 53 · Discontinued | $251.19 | $251.19 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | 55 · Aftercare only | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | 56 · Pre-op care only | $125.89 | $125.89 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $147.91 | $1,479.11 | $1,479.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,122.02 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii 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· 41st 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.