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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,778.28 | Professional | None | $1,584.89 | $1,584.89 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $9,332.54 | Facility | None | $3,090.30 | $3,388.44 | $9,332.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,737.80 Typical High $3,801.89 | Professional | None | $1,318.26 | $1,737.80 | $3,801.89 |
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 $1,288.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $1,288.25 | $1,288.25 | $1,778.28 |
Denver HMP Setting Facility Modifier None Typical Low $912.01 Median $1,819.70 Typical High $3,981.07 | Facility | None | $912.01 | $1,819.70 | $3,981.07 |
Denver HMP Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $6,456.54 | Professional | None | $2,238.72 | $4,168.69 | $6,456.54 |
Select Health Setting Facility Modifier None Typical Low $3,235.94 Median $5,888.44 Typical High $6,760.83 | Facility | None | $3,235.94 | $5,888.44 | $6,760.83 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $3,235.94 Typical High $3,981.07 | Professional | None | $2,398.83 | $3,235.94 | $3,981.07 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,621.81 | $1,862.09 | $1,862.09 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,288.25 | $1,412.54 | $2,187.76 |
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 $794.33 Median $794.33 Typical High $891.25 | Professional | 52 · Reduced service | $794.33 | $794.33 | $891.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $316.23 Typical High $363.08 | Professional | 53 · Discontinued | $316.23 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $234.42 Typical High $269.15 | Professional | 55 · Aftercare only | $234.42 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | 56 · Pre-op care only | $158.49 | $158.49 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $1,737.80 Typical High $1,737.80 | Professional | RR · Rental | $173.78 | $1,737.80 | $1,737.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Where Colorado sits
The same service costs 3.2 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· 44th of 51
$1,622
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.