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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,041.74 | Professional | None | $1,905.46 | $1,905.46 | $2,041.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,168.69 Typical High $11,220.18 | Facility | None | $3,801.89 | $4,168.69 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $5,011.87 | Professional | None | $1,513.56 | $2,089.30 | $5,011.87 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,454.71 | Professional | None | $1,778.28 | $1,778.28 | $2,454.71 |
Denver HMP Setting Facility Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $4,677.35 | Facility | None | $1,096.48 | $2,187.76 | $4,677.35 |
Denver HMP Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,754.23 Median $5,128.61 Typical High $7,762.47 | Professional | None | $2,754.23 | $5,128.61 | $7,762.47 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $8,317.64 | Facility | None | $3,890.45 | $7,244.36 | $8,317.64 |
Select Health Setting Professional Modifier None Typical Low $2,754.23 Median $3,890.45 Typical High $5,495.41 | Professional | None | $2,754.23 | $3,890.45 | $5,495.41 |
United Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $2,630.27 | Professional | None | $1,548.82 | $1,698.24 | $2,630.27 |
4 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 55 · Aftercare only Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | 55 · Aftercare only | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 56 · Pre-op care only | $190.55 | $190.55 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $2,089.30 Typical High $2,089.30 | Professional | RR · Rental | $208.93 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
Where Colorado sits
The same service costs 2.3 times more in Montana 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
$1,905
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.