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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | None | $812.83 | $812.83 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $4,677.35 | Facility | None | $1,584.89 | $1,737.80 | $4,677.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $954.99 Typical High $2,089.30 | Professional | None | $645.65 | $954.99 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,122.02 | Professional | None | $812.83 | $812.83 | $1,122.02 |
Denver HMP Setting Facility Modifier None Typical Low $457.09 Median $912.01 Typical High $1,949.84 | Facility | None | $457.09 | $912.01 | $1,949.84 |
Denver HMP Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,148.15 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,148.15 | $2,137.96 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $1,659.59 Median $3,019.95 Typical High $3,467.37 | Facility | None | $1,659.59 | $3,019.95 | $3,467.37 |
Select Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,659.59 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,659.59 | $2,290.87 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
United Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,096.48 | Professional | None | $645.65 | $707.95 | $1,096.48 |
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 $120.23 Median $120.23 Typical High $128.82 | Professional | 55 · Aftercare only | $120.23 | $120.23 | $128.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | 56 · Pre-op care only | $81.28 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $954.99 Typical High $954.99 | Professional | RR · Rental | $95.50 | $954.99 | $954.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Where Colorado sits
The same service costs 2.1 times more in Montana than in West Virginia. 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
$813
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.