How much rates vary
Facilitymedian $9,120 · 10th to 90th $3,981 to $20,893Professionalmedian $8,128 · 10th to 90th $5,754 to $21,380
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 $8,128.31 Median $8,128.31 Typical High $8,128.31 | Facility | None | $8,128.31 | $8,128.31 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $6,918.31 Median $8,128.31 Typical High $8,128.31 | Professional | None | $6,918.31 | $8,128.31 | $8,128.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $15,848.93 Median $17,782.79 Typical High $47,863.01 | Facility | None | $15,848.93 | $17,782.79 | $47,863.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,128.61 Median $7,413.10 Typical High $16,982.44 | Professional | None | $5,128.61 | $7,413.10 | $16,982.44 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,120.11 | Professional | None | $6,606.93 | $6,606.93 | $9,120.11 |
Denver HMP Setting Facility Modifier None Typical Low $3,981.07 Median $8,128.31 Typical High $18,197.01 | Facility | None | $3,981.07 | $8,128.31 | $18,197.01 |
Denver HMP Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11,748.98 Median $21,877.62 Typical High $31,622.78 | Professional | None | $11,748.98 | $21,877.62 | $31,622.78 |
Select Health Setting Facility Modifier None Typical Low $16,595.87 Median $30,902.95 Typical High $34,673.69 | Facility | None | $16,595.87 | $30,902.95 | $34,673.69 |
Select Health Setting Professional Modifier None Typical Low $10,715.19 Median $16,595.87 Typical High $20,892.96 | Professional | None | $10,715.19 | $16,595.87 | $20,892.96 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $6,165.95 | Facility | None | $5,128.61 | $6,165.95 | $6,165.95 |
United Setting Professional Modifier None Typical Low $5,495.41 Median $6,165.95 Typical High $9,332.54 | Professional | None | $5,495.41 | $6,165.95 | $9,332.54 |
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 $3,467.37 Median $4,073.80 Typical High $4,073.80 | Professional | 52 · Reduced service | $3,467.37 | $4,073.80 | $4,073.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,380.38 Median $1,621.81 Typical High $1,621.81 | Professional | 53 · Discontinued | $1,380.38 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | 55 · Aftercare only | $1,047.13 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $691.83 Median $812.83 Typical High $812.83 | Professional | 56 · Pre-op care only | $691.83 | $812.83 | $812.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $741.31 Median $7,413.10 Typical High $7,413.10 | Professional | RR · Rental | $741.31 | $7,413.10 | $7,413.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | UE · Used equipment | $5,623.41 | $5,623.41 | $5,623.41 |
Where Colorado sits
The same service costs 2.5 times more in Montana 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· 28th of 51
$8,128
MT $16,596DE $6,607
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.