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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | None | $97.72 | $97.72 | $123.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $208.93 Typical High $562.34 | Facility | None | $190.55 | $208.93 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $251.19 | Professional | None | $85.11 | $117.49 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None | $93.33 | $93.33 | $125.89 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $245.47 | Facility | None | $61.66 | $123.03 | $245.47 |
Denver HMP Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $147.91 Median $251.19 Typical High $371.54 | Professional | None | $147.91 | $251.19 | $371.54 |
Select Health Setting Facility Modifier None Typical Low $199.53 Median $363.08 Typical High $416.87 | Facility | None | $199.53 | $363.08 | $416.87 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $245.47 | Professional | None | $138.04 | $199.53 | $245.47 |
United Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $120.23 | Facility | None | $100.00 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $147.91 | Professional | None | $87.10 | $95.50 | $147.91 |
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 $48.98 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $48.98 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $19.50 | $19.50 | $24.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $14.45 Typical High $18.20 | Professional | 55 · Aftercare only | $14.45 | $14.45 | $18.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $12.30 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $12.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.75 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $11.75 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $89.13 | $89.13 | $89.13 |
Where Colorado sits
The same service costs 2.9 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· 47th of 51
$112
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.