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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,041.74 | Professional | None | $1,819.70 | $1,819.70 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,548.13 Median $3,981.07 Typical High $10,715.19 | Facility | None | $3,548.13 | $3,981.07 | $10,715.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,995.26 Typical High $4,365.16 | Professional | None | $1,445.44 | $1,995.26 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,949.84 | $1,949.84 | $2,691.53 |
Denver HMP Setting Facility Modifier None Typical Low $1,047.13 Median $2,089.30 Typical High $4,677.35 | Facility | None | $1,047.13 | $2,089.30 | $4,677.35 |
Denver HMP Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,630.27 Median $4,897.79 Typical High $7,413.10 | Professional | None | $2,630.27 | $4,897.79 | $7,413.10 |
Select Health Setting Facility Modifier None Typical Low $3,715.35 Median $6,918.31 Typical High $7,762.47 | Facility | None | $3,715.35 | $6,918.31 | $7,762.47 |
Select Health Setting Professional Modifier None Typical Low $2,818.38 Median $3,715.35 Typical High $4,677.35 | Professional | None | $2,818.38 | $3,715.35 | $4,677.35 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Facility | None | $1,862.09 | $2,187.76 | $2,187.76 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $1,621.81 Typical High $2,511.89 | Professional | None | $1,479.11 | $1,621.81 | $2,511.89 |
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 $912.01 Median $912.01 Typical High $1,023.29 | Professional | 52 · Reduced service | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | 53 · Discontinued | $363.08 | $363.08 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 55 · Aftercare only | $275.42 | $275.42 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | 56 · Pre-op care only | $181.97 | $181.97 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $1,995.26 Typical High $1,995.26 | Professional | RR · Rental | $199.53 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | UE · Used equipment | $1,513.56 | $1,513.56 | $1,513.56 |
Where Colorado sits
The same service costs 2.9 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
$1,950
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.