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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None | $218.78 | $218.78 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $478.63 Typical High $1,288.25 | Facility | None | $436.52 | $478.63 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $588.84 | Professional | None | $177.83 | $269.15 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Denver HMP Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $562.34 | Facility | None | $141.25 | $275.42 | $562.34 |
Denver HMP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $331.13 Median $588.84 Typical High $891.25 | Professional | None | $331.13 | $588.84 | $891.25 |
Select Health Setting Facility Modifier None Typical Low $446.68 Median $831.76 Typical High $933.25 | Facility | None | $446.68 | $831.76 | $933.25 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $446.68 Typical High $562.34 | Professional | None | $346.74 | $446.68 | $562.34 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $257.04 | Facility | None | $213.80 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $338.84 | Professional | None | $199.53 | $218.78 | $338.84 |
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 $109.65 Median $109.65 Typical High $138.04 | Professional | 52 · Reduced service | $109.65 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $56.23 | Professional | 53 · Discontinued | $43.65 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 55 · Aftercare only | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | 56 · Pre-op care only | $21.88 | $21.88 | $27.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.92 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $26.92 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | UE · Used equipment | $204.17 | $204.17 | $204.17 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii 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
$245
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.