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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | None | $123.03 | $123.03 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $269.15 Typical High $724.44 | Facility | None | $245.47 | $269.15 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $281.84 | Professional | None | $100.00 | $125.89 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None | $120.23 | $120.23 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $67.61 Median $134.90 Typical High $288.40 | Facility | None | $67.61 | $134.90 | $288.40 |
Denver HMP Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $331.13 Typical High $512.86 | Professional | None | $186.21 | $331.13 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $251.19 Median $467.74 Typical High $537.03 | Facility | None | $251.19 | $467.74 | $537.03 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $316.23 | Professional | None | $177.83 | $251.19 | $316.23 |
United Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $141.25 | Facility | None | $138.04 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $95.50 Median $104.71 Typical High $162.18 | Professional | None | $95.50 | $104.71 | $162.18 |
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 $61.66 Median $61.66 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 55 · Aftercare only | $18.62 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 56 · Pre-op care only | $12.30 | $12.30 | $12.59 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $12.59 | $125.89 | $125.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | UE · Used equipment | $95.50 | $95.50 | $95.50 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Florida. 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· 44th of 51
$123
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.