How much rates vary
Facilitymedian $12,589 · 10th to 90th $5,623 to $28,840Professionalmedian $10,471 · 10th to 90th $8,318 to $28,184
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 $20,892.96 Median $22,908.68 Typical High $61,659.50 | Facility | None | $20,892.96 | $22,908.68 | $61,659.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $7,244.36 Median $10,715.19 Typical High $23,988.33 | Professional | None | $7,244.36 | $10,715.19 | $23,988.33 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
Denver HMP Setting Facility Modifier None Typical Low $5,623.41 Median $11,220.18 Typical High $23,988.33 | Facility | None | $5,623.41 | $11,220.18 | $23,988.33 |
Denver HMP Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15,135.61 Median $28,183.83 Typical High $40,738.03 | Professional | None | $15,135.61 | $28,183.83 | $40,738.03 |
Select Health Setting Facility Modifier None Typical Low $21,379.62 Median $39,810.72 Typical High $45,708.82 | Facility | None | $21,379.62 | $39,810.72 | $45,708.82 |
Select Health Setting Professional Modifier None Typical Low $15,135.61 Median $21,379.62 Typical High $26,915.35 | Professional | None | $15,135.61 | $21,379.62 | $26,915.35 |
United Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $9,332.54 | Facility | None | $7,943.28 | $9,332.54 | $9,332.54 |
United Setting Professional Modifier None Typical Low $7,943.28 Median $8,709.64 Typical High $13,489.63 | Professional | None | $7,943.28 | $8,709.64 | $13,489.63 |
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 $2,041.74 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $2,041.74 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,513.56 Median $1,584.89 Typical High $1,584.89 | Professional | 55 · Aftercare only | $1,513.56 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Professional | 56 · Pre-op care only | $1,023.29 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $10,715.19 Typical High $10,715.19 | Professional | RR · Rental | $1,071.52 | $10,715.19 | $10,715.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Professional | UE · Used equipment | $7,943.28 | $7,943.28 | $7,943.28 |
Where Colorado sits
The same service costs 2.5 times more in Montana than in Florida. 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· 43rd of 51
$10,471
MT $22,387FL $9,120
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.