How much rates vary
Facilitymedian $4,677 · 10th to 90th $2,291 to $11,482Professionalmedian $3,715 · 10th to 90th $3,311 to $9,772
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,168.69 | Professional | None | $3,715.35 | $3,715.35 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $7,244.36 Median $7,943.28 Typical High $21,877.62 | Facility | None | $7,244.36 | $7,943.28 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $11,748.98 | Professional | None | $2,951.21 | $4,265.80 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Denver HMP Setting Facility Modifier None Typical Low $2,290.87 Median $4,466.84 Typical High $9,332.54 | Facility | None | $2,290.87 | $4,466.84 | $9,332.54 |
Denver HMP Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5,248.07 Median $9,772.37 Typical High $15,135.61 | Professional | None | $5,248.07 | $9,772.37 | $15,135.61 |
Select Health Setting Facility Modifier None Typical Low $7,585.78 Median $13,803.84 Typical High $15,848.93 | Facility | None | $7,585.78 | $13,803.84 | $15,848.93 |
Select Health Setting Professional Modifier None Typical Low $5,248.07 Median $7,585.78 Typical High $9,332.54 | Professional | None | $5,248.07 | $7,585.78 | $9,332.54 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,548.13 Typical High $3,548.13 | Facility | None | $2,884.03 | $3,548.13 | $3,548.13 |
United Setting Professional Modifier None Typical Low $3,162.28 Median $3,548.13 Typical High $5,370.32 | Professional | None | $3,162.28 | $3,548.13 | $5,370.32 |
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 $1,862.09 Median $1,862.09 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,862.09 | $1,862.09 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $741.31 Median $741.31 Typical High $831.76 | Professional | 53 · Discontinued | $741.31 | $741.31 | $831.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | 55 · Aftercare only | $549.54 | $549.54 | $616.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $371.54 Median $371.54 Typical High $416.87 | Professional | 56 · Pre-op care only | $371.54 | $371.54 | $416.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $426.58 Median $4,265.80 Typical High $4,265.80 | Professional | RR · Rental | $426.58 | $4,265.80 | $4,265.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,235.94 |
Where Colorado sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$3,715
AR $8,128VT $3,467
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.