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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $398.11 | Professional | None | $380.19 | $380.19 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $812.83 Typical High $2,238.72 | Facility | None | $741.31 | $812.83 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $933.25 | Professional | None | $323.59 | $426.58 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | None | $407.38 | $407.38 | $562.34 |
Denver HMP Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $912.01 | Facility | None | $213.80 | $426.58 | $912.01 |
Denver HMP Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $1,000.00 Typical High $1,548.82 | Professional | None | $537.03 | $1,000.00 | $1,548.82 |
Select Health Setting Facility Modifier None Typical Low $776.25 Median $1,445.44 Typical High $1,621.81 | Facility | None | $776.25 | $1,445.44 | $1,621.81 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $977.24 | Professional | None | $537.03 | $776.25 | $977.24 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $512.86 | Professional | None | $302.00 | $331.13 | $512.86 |
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 $56.23 Median $56.23 Typical High $60.26 | Professional | 55 · Aftercare only | $56.23 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 56 · Pre-op care only | $38.02 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $42.66 | $426.58 | $426.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Where Colorado sits
The same service costs 2.6 times more in Hawaii than in New Jersey. 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· 43rd of 51
$407
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.