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 $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,412.54 | Professional | None | $1,288.25 | $1,288.25 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $7,413.10 | Facility | None | $2,511.89 | $2,754.23 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,071.52 Median $1,380.38 Typical High $3,548.13 | Professional | None | $1,071.52 | $1,380.38 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Denver HMP Setting Facility Modifier None Typical Low $724.44 Median $1,445.44 Typical High $2,884.03 | Facility | None | $724.44 | $1,445.44 | $2,884.03 |
Denver HMP Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,819.70 Median $3,388.44 Typical High $5,128.61 | Professional | None | $1,819.70 | $3,388.44 | $5,128.61 |
Select Health Setting Facility Modifier None Typical Low $2,630.27 Median $4,786.30 Typical High $5,495.41 | Facility | None | $2,630.27 | $4,786.30 | $5,495.41 |
Select Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,630.27 Typical High $3,235.94 | Professional | None | $1,819.70 | $2,630.27 | $3,235.94 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Facility | None | $977.24 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,737.80 | Professional | None | $1,023.29 | $1,122.02 | $1,737.80 |
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 $645.65 Median $645.65 Typical High $707.95 | Professional | 52 · Reduced service | $645.65 | $645.65 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 53 · Discontinued | $257.04 | $257.04 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | 55 · Aftercare only | $190.55 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | 56 · Pre-op care only | $128.82 | $128.82 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $1,380.38 Typical High $1,380.38 | Professional | RR · Rental | $138.04 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | UE · Used equipment | $1,047.13 | $1,047.13 | $1,047.13 |
Where Colorado sits
The same service costs 2.1 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· 48th of 51
$1,288
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.