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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | None | $128.82 | $128.82 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $281.84 Typical High $758.58 | Facility | None | $251.19 | $281.84 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $338.84 | Professional | None | $120.23 | $154.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | None | $117.49 | $117.49 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $83.18 Median $162.18 Typical High $331.13 | Facility | None | $83.18 | $162.18 | $331.13 |
Denver HMP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $346.74 Typical High $524.81 | Professional | None | $190.55 | $346.74 | $524.81 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $489.78 Typical High $549.54 | Facility | None | $263.03 | $489.78 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $371.54 | Professional | None | $208.93 | $263.03 | $371.54 |
United Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $128.82 | Facility | None | $104.71 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $199.53 | Professional | None | $117.49 | $128.82 | $199.53 |
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 $64.57 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | 55 · Aftercare only | $19.50 | $19.50 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 56 · Pre-op care only | $12.88 | $12.88 | $16.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $154.88 Typical High $154.88 | Professional | RR · Rental | $15.49 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $117.49 | $117.49 | $117.49 |
Where Colorado sits
The same service costs 2.8 times more in Minnesota 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· 46th of 51
$135
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.