How much rates vary
Facilitymedian $8,128 · 10th to 90th $3,388 to $17,783Professionalmedian $7,079 · 10th to 90th $5,012 to $18,197
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 $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $6,165.95 Median $7,079.46 Typical High $7,079.46 | Professional | None | $6,165.95 | $7,079.46 | $7,079.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $13,803.84 Median $15,135.61 Typical High $40,738.03 | Facility | None | $13,803.84 | $15,135.61 | $40,738.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,570.88 Median $6,456.54 Typical High $13,803.84 | Professional | None | $4,570.88 | $6,456.54 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $8,128.31 | Professional | None | $5,888.44 | $5,888.44 | $8,128.31 |
Denver HMP Setting Facility Modifier None Typical Low $3,388.44 Median $7,079.46 Typical High $15,848.93 | Facility | None | $3,388.44 | $7,079.46 | $15,848.93 |
Denver HMP Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10,000.00 Median $18,620.87 Typical High $26,915.35 | Professional | None | $10,000.00 | $18,620.87 | $26,915.35 |
Select Health Setting Facility Modifier None Typical Low $14,454.40 Median $26,302.68 Typical High $30,199.52 | Facility | None | $14,454.40 | $26,302.68 | $30,199.52 |
Select Health Setting Professional Modifier None Typical Low $9,332.54 Median $14,454.40 Typical High $17,782.79 | Professional | None | $9,332.54 | $14,454.40 | $17,782.79 |
United Setting Facility Modifier None Typical Low $4,466.84 Median $5,248.07 Typical High $5,248.07 | Facility | None | $4,466.84 | $5,248.07 | $5,248.07 |
United Setting Professional Modifier None Typical Low $4,786.30 Median $5,248.07 Typical High $8,128.31 | Professional | None | $4,786.30 | $5,248.07 | $8,128.31 |
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 $3,090.30 Median $3,548.13 Typical High $3,548.13 | Professional | 52 · Reduced service | $3,090.30 | $3,548.13 | $3,548.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,258.93 Median $1,412.54 Typical High $1,412.54 | Professional | 53 · Discontinued | $1,258.93 | $1,412.54 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $933.25 Median $1,047.13 Typical High $1,047.13 | Professional | 55 · Aftercare only | $933.25 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $616.60 Median $707.95 Typical High $707.95 | Professional | 56 · Pre-op care only | $616.60 | $707.95 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $645.65 Median $6,456.54 Typical High $6,456.54 | Professional | RR · Rental | $645.65 | $6,456.54 | $6,456.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | UE · Used equipment | $4,786.30 | $4,786.30 | $4,786.30 |
Where Colorado sits
The same service costs 2.5 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· 29th of 51
$7,079
MT $14,454WV $5,888
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.