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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Professional | None | $977.24 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $6,456.54 | Facility | None | $2,137.96 | $2,398.83 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $1,000.00 Typical High $2,398.83 | Professional | None | $741.31 | $1,000.00 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Denver HMP Setting Facility Modifier None Typical Low $537.03 Median $1,096.48 Typical High $2,454.71 | Facility | None | $537.03 | $1,096.48 | $2,454.71 |
Denver HMP Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,584.89 Median $2,951.21 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,951.21 | $4,265.80 |
Select Health Setting Facility Modifier None Typical Low $2,238.72 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,238.72 | $4,168.69 | $4,677.35 |
Select Health Setting Professional Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $2,818.38 | Professional | None | $1,445.44 | $2,238.72 | $2,818.38 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $831.76 | Facility | None | $645.65 | $831.76 | $831.76 |
United Setting Professional Modifier None Typical Low $741.31 Median $831.76 Typical High $1,258.93 | Professional | None | $741.31 | $831.76 | $1,258.93 |
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 $501.19 Median $549.54 Typical High $549.54 | Professional | 52 · Reduced service | $501.19 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $218.78 Typical High $218.78 | Professional | 53 · Discontinued | $199.53 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $165.96 Typical High $165.96 | Professional | 55 · Aftercare only | $147.91 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $109.65 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $109.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $1,000.00 Typical High $1,000.00 | Professional | RR · Rental | $100.00 | $1,000.00 | $1,000.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | UE · Used equipment | $758.58 | $758.58 | $758.58 |
Where Colorado sits
The same service costs 2.5 times more in Montana 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· 28th of 51
$1,096
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.