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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,148.15 | Professional | None | $851.14 | $851.14 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,698.24 Median $1,862.09 Typical High $5,011.87 | Facility | None | $1,698.24 | $1,862.09 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $2,398.83 | Professional | None | $831.76 | $1,047.13 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
Denver HMP Setting Facility Modifier None Typical Low $549.54 Median $1,096.48 Typical High $2,187.76 | Facility | None | $549.54 | $1,096.48 | $2,187.76 |
Denver HMP Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,230.27 Median $2,290.87 Typical High $3,467.37 | Professional | None | $1,230.27 | $2,290.87 | $3,467.37 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $3,235.94 Typical High $3,715.35 | Facility | None | $1,737.80 | $3,235.94 | $3,715.35 |
Select Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,288.25 | $1,737.80 | $2,344.23 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Facility | None | $954.99 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $776.25 Median $851.14 Typical High $1,318.26 | Professional | None | $776.25 | $851.14 | $1,318.26 |
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 $426.58 Median $426.58 Typical High $575.44 | Professional | 52 · Reduced service | $426.58 | $426.58 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | 53 · Discontinued | $169.82 | $169.82 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $128.82 Typical High $173.78 | Professional | 55 · Aftercare only | $128.82 | $128.82 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | 56 · Pre-op care only | $85.11 | $85.11 | $114.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $1,047.13 Typical High $1,047.13 | Professional | RR · Rental | $104.71 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | UE · Used equipment | $794.33 | $794.33 | $794.33 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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· 41st of 51
$1,072
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.