How much rates vary
Facilitymedian $11,749 · 10th to 90th $5,495 to $27,542Professionalmedian $10,471 · 10th to 90th $8,128 to $27,542
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 $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
Aetna Setting Professional Modifier None Typical Low $10,000.00 Median $10,471.29 Typical High $10,471.29 | Professional | None | $10,000.00 | $10,471.29 | $10,471.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $20,417.38 Median $22,387.21 Typical High $61,659.50 | Facility | None | $20,417.38 | $22,387.21 | $61,659.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,918.31 Median $10,232.93 Typical High $22,908.68 | Professional | None | $6,918.31 | $10,232.93 | $22,908.68 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
Denver HMP Setting Facility Modifier None Typical Low $5,495.41 Median $10,964.78 Typical High $23,442.29 | Facility | None | $5,495.41 | $10,964.78 | $23,442.29 |
Denver HMP Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14,791.08 Median $27,542.29 Typical High $40,738.03 | Professional | None | $14,791.08 | $27,542.29 | $40,738.03 |
Select Health Setting Facility Modifier None Typical Low $21,379.62 Median $39,810.72 Typical High $44,668.36 | Facility | None | $21,379.62 | $39,810.72 | $44,668.36 |
Select Health Setting Professional Modifier None Typical Low $14,454.40 Median $21,379.62 Typical High $26,915.35 | Professional | None | $14,454.40 | $21,379.62 | $26,915.35 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $8,912.51 | Facility | None | $7,585.78 | $8,912.51 | $8,912.51 |
United Setting Professional Modifier None Typical Low $7,585.78 Median $8,511.38 Typical High $13,182.57 | Professional | None | $7,585.78 | $8,511.38 | $13,182.57 |
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 $5,011.87 Median $5,248.07 Typical High $5,248.07 | Professional | 52 · Reduced service | $5,011.87 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,995.26 Median $2,089.30 Typical High $2,089.30 | Professional | 53 · Discontinued | $1,995.26 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,479.11 Median $1,548.82 Typical High $1,548.82 | Professional | 55 · Aftercare only | $1,479.11 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,000.00 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $1,000.00 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $10,232.93 Typical High $10,232.93 | Professional | RR · Rental | $1,023.29 | $10,232.93 | $10,232.93 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | UE · Used equipment | $7,762.47 | $7,762.47 | $7,762.47 |
Where Colorado sits
The same service costs 2.6 times more in Montana 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· 32nd of 51
$10,471
MT $21,878NJ $8,511
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.