How much rates vary
Facilitymedian $7,586 · 10th to 90th $3,020 to $15,488Professionalmedian $5,495 · 10th to 90th $4,467 to $14,454
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 $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,754.40 | Professional | None | $5,495.41 | $5,495.41 | $5,754.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $10,715.19 Median $11,748.98 Typical High $32,359.37 | Facility | None | $10,715.19 | $11,748.98 | $32,359.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,365.16 Median $6,606.93 Typical High $14,454.40 | Professional | None | $4,365.16 | $6,606.93 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
Denver HMP Setting Facility Modifier None Typical Low $3,019.95 Median $6,025.60 Typical High $12,302.69 | Facility | None | $3,019.95 | $6,025.60 | $12,302.69 |
Denver HMP Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7,762.47 Median $14,454.40 Typical High $22,387.21 | Professional | None | $7,762.47 | $14,454.40 | $22,387.21 |
Select Health Setting Facility Modifier None Typical Low $11,220.18 Median $20,892.96 Typical High $23,442.29 | Facility | None | $11,220.18 | $20,892.96 | $23,442.29 |
Select Health Setting Professional Modifier None Typical Low $7,762.47 Median $11,220.18 Typical High $14,125.38 | Professional | None | $7,762.47 | $11,220.18 | $14,125.38 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,786.30 | $4,786.30 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $4,677.35 Typical High $7,244.36 | Professional | None | $4,265.80 | $4,677.35 | $7,244.36 |
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 $2,754.23 Median $2,754.23 Typical High $2,884.03 | Professional | 52 · Reduced service | $2,754.23 | $2,754.23 | $2,884.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | 53 · Discontinued | $1,096.48 | $1,096.48 | $1,148.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $831.76 Typical High $870.96 | Professional | 55 · Aftercare only | $831.76 | $831.76 | $870.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $549.54 Median $549.54 Typical High $575.44 | Professional | 56 · Pre-op care only | $549.54 | $549.54 | $575.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $660.69 Median $6,606.93 Typical High $6,606.93 | Professional | RR · Rental | $660.69 | $6,606.93 | $6,606.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Professional | UE · Used equipment | $4,897.79 | $4,897.79 | $4,897.79 |
Where Colorado sits
The same service costs 2.1 times more in Montana than in Pennsylvania. 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· 46th of 51
$5,495
MT $11,220PA $5,370
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.