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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,230.27 | Professional | None | $912.01 | $912.01 | $1,230.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,778.28 Median $1,949.84 Typical High $5,370.32 | Facility | None | $1,778.28 | $1,949.84 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $1,096.48 Typical High $2,818.38 | Professional | None | $851.14 | $1,096.48 | $2,818.38 |
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 $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Denver HMP Setting Facility Modifier None Typical Low $588.84 Median $1,071.52 Typical High $2,290.87 | Facility | None | $588.84 | $1,071.52 | $2,290.87 |
Denver HMP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $3,715.35 | Professional | None | $1,288.25 | $2,398.83 | $3,715.35 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $3,388.44 Typical High $3,890.45 | Facility | None | $1,862.09 | $3,388.44 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,862.09 Typical High $2,454.71 | Professional | None | $1,548.82 | $1,862.09 | $2,454.71 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,047.13 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $812.83 Median $912.01 Typical High $1,380.38 | Professional | None | $812.83 | $912.01 | $1,380.38 |
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 $457.09 Median $457.09 Typical High $616.60 | Professional | 52 · Reduced service | $457.09 | $457.09 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | 53 · Discontinued | $181.97 | $181.97 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | 55 · Aftercare only | $134.90 | $134.90 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | 56 · Pre-op care only | $91.20 | $91.20 | $123.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $1,096.48 Typical High $1,096.48 | Professional | RR · Rental | $109.65 | $1,096.48 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Where Colorado sits
The same service costs 3.1 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· 44th of 51
$1,047
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.