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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $3,019.95 Typical High $3,019.95 | Professional | None | $2,691.53 | $3,019.95 | $3,019.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $6,606.93 Typical High $17,782.79 | Facility | None | $5,888.44 | $6,606.93 | $17,782.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $2,818.38 Typical High $6,165.95 | Professional | None | $1,995.26 | $2,818.38 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,548.13 | Professional | None | $2,570.40 | $2,570.40 | $3,548.13 |
Denver HMP Setting Facility Modifier None Typical Low $1,479.11 Median $3,019.95 Typical High $6,760.83 | Facility | None | $1,479.11 | $3,019.95 | $6,760.83 |
Denver HMP Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None | $1,479.11 | $1,479.11 | $1,479.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4,365.16 Median $8,128.31 Typical High $12,022.64 | Professional | None | $4,365.16 | $8,128.31 | $12,022.64 |
Select Health Setting Facility Modifier None Typical Low $6,165.95 Median $11,481.54 Typical High $12,882.50 | Facility | None | $6,165.95 | $11,481.54 | $12,882.50 |
Select Health Setting Professional Modifier None Typical Low $4,365.16 Median $6,165.95 Typical High $7,762.47 | Professional | None | $4,365.16 | $6,165.95 | $7,762.47 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,019.95 | $3,890.45 | $3,890.45 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $3,548.13 | Professional | None | $2,041.74 | $2,290.87 | $3,548.13 |
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 $1,348.96 Median $1,513.56 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,348.96 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $602.56 Typical High $602.56 | Professional | 53 · Discontinued | $537.03 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $457.09 Typical High $457.09 | Professional | 55 · Aftercare only | $407.38 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | 56 · Pre-op care only | $269.15 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $281.84 Median $2,818.38 Typical High $2,818.38 | Professional | RR · Rental | $281.84 | $2,818.38 | $2,818.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,089.30 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Pennsylvania. 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· 29th of 51
$3,020
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.