How much rates vary
Facilitymedian $7,244 · 10th to 90th $2,951 to $15,136Professionalmedian $5,248 · 10th to 90th $4,365 to $13,804
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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,623.41 | Professional | None | $5,248.07 | $5,248.07 | $5,623.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,232.93 Median $11,220.18 Typical High $30,902.95 | Facility | None | $10,232.93 | $11,220.18 | $30,902.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,265.80 Median $5,623.41 Typical High $14,125.38 | Professional | None | $4,265.80 | $5,623.41 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Denver HMP Setting Facility Modifier None Typical Low $2,951.21 Median $5,888.44 Typical High $12,022.64 | Facility | None | $2,951.21 | $5,888.44 | $12,022.64 |
Denver HMP Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,951.21 | $2,951.21 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,413.10 Median $13,803.84 Typical High $20,417.38 | Professional | None | $7,413.10 | $13,803.84 | $20,417.38 |
Select Health Setting Facility Modifier None Typical Low $10,715.19 Median $19,952.62 Typical High $22,387.21 | Facility | None | $10,715.19 | $19,952.62 | $22,387.21 |
Select Health Setting Professional Modifier None Typical Low $7,413.10 Median $10,715.19 Typical High $13,489.63 | Professional | None | $7,413.10 | $10,715.19 | $13,489.63 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Facility | None | $4,365.16 | $5,128.61 | $5,128.61 |
United Setting Professional Modifier None Typical Low $4,168.69 Median $4,570.88 Typical High $7,079.46 | Professional | None | $4,168.69 | $4,570.88 | $7,079.46 |
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 $2,630.27 Median $2,630.27 Typical High $2,818.38 | Professional | 52 · Reduced service | $2,630.27 | $2,630.27 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,047.13 Median $1,047.13 Typical High $1,122.02 | Professional | 53 · Discontinued | $1,047.13 | $1,047.13 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | 55 · Aftercare only | $794.33 | $794.33 | $851.14 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | 56 · Pre-op care only | $524.81 | $524.81 | $562.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $562.34 Median $5,623.41 Typical High $5,623.41 | Professional | RR · Rental | $562.34 | $5,623.41 | $5,623.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
Where Colorado sits
The same service costs 2.1 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· 49th of 51
$5,248
HI $11,220NJ $5,248
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.