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 $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Professional | None | $1,995.26 | $1,995.26 | $2,089.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,890.45 Median $4,265.80 Typical High $11,748.98 | Facility | None | $3,890.45 | $4,265.80 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $5,248.07 | Professional | None | $1,584.89 | $2,137.96 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,511.89 | Professional | None | $1,862.09 | $1,862.09 | $2,511.89 |
Denver HMP Setting Facility Modifier None Typical Low $1,122.02 Median $2,238.72 Typical High $4,786.30 | Facility | None | $1,122.02 | $2,238.72 | $4,786.30 |
Denver HMP Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $8,128.31 | Professional | None | $2,818.38 | $5,248.07 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $4,073.80 Median $7,413.10 Typical High $8,511.38 | Facility | None | $4,073.80 | $7,413.10 | $8,511.38 |
Select Health Setting Professional Modifier None Typical Low $2,818.38 Median $4,073.80 Typical High $5,623.41 | Professional | None | $2,818.38 | $4,073.80 | $5,623.41 |
United Setting Facility Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $2,691.53 | Professional | None | $1,584.89 | $1,737.80 | $2,691.53 |
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 $295.12 Median $295.12 Typical High $316.23 | Professional | 55 · Aftercare only | $295.12 | $295.12 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | 56 · Pre-op care only | $199.53 | $199.53 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $213.80 Median $2,137.96 Typical High $2,137.96 | Professional | RR · Rental | $213.80 | $2,137.96 | $2,137.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $1,621.81 |
Where Colorado sits
The same service costs 2.2 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· 45th of 51
$1,995
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.