How much rates vary
Facilitymedian $30,200 · 10th to 90th $12,589 to $85,114Professionalmedian $22,387 · 10th to 90th $18,621 to $56,234
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 $21,379.62 Median $21,379.62 Typical High $21,379.62 | Facility | None | $21,379.62 | $21,379.62 | $21,379.62 |
Aetna Setting Professional Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $23,442.29 | Professional | None | $21,379.62 | $21,379.62 | $23,442.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $41,686.94 Median $45,708.82 Typical High $125,892.54 | Facility | None | $41,686.94 | $45,708.82 | $125,892.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $16,982.44 Median $23,988.33 Typical High $51,286.14 | Professional | None | $16,982.44 | $23,988.33 | $51,286.14 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None Typical Low $22,387.21 Median $22,387.21 Typical High $30,199.52 | Professional | None | $22,387.21 | $22,387.21 | $30,199.52 |
Denver HMP Setting Facility Modifier None Typical Low $12,589.25 Median $24,547.09 Typical High $53,703.18 | Facility | None | $12,589.25 | $24,547.09 | $53,703.18 |
Denver HMP Setting Professional Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | None | $12,589.25 | $12,589.25 | $12,589.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30,902.95 Median $56,234.13 Typical High $83,176.38 | Professional | None | $30,902.95 | $56,234.13 | $83,176.38 |
Select Health Setting Facility Modifier None Typical Low $43,651.58 Median $81,283.05 Typical High $91,201.08 | Facility | None | $43,651.58 | $81,283.05 | $91,201.08 |
Select Health Setting Professional Modifier None Typical Low $30,902.95 Median $43,651.58 Typical High $54,954.09 | Professional | None | $30,902.95 | $43,651.58 | $54,954.09 |
United Setting Facility Modifier None Typical Low $64,565.42 Median $64,565.42 Typical High $64,565.42 | Facility | None | $64,565.42 | $64,565.42 | $64,565.42 |
United Setting Professional Modifier None Typical Low $17,782.79 Median $19,498.45 Typical High $30,199.52 | Professional | None | $17,782.79 | $19,498.45 | $30,199.52 |
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 $10,715.19 Median $10,715.19 Typical High $11,748.98 | Professional | 52 · Reduced service | $10,715.19 | $10,715.19 | $11,748.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Professional | 53 · Discontinued | $4,265.80 | $4,265.80 | $4,677.35 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3,235.94 Median $3,235.94 Typical High $3,548.13 | Professional | 55 · Aftercare only | $3,235.94 | $3,235.94 | $3,548.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2,137.96 Median $2,137.96 Typical High $2,344.23 | Professional | 56 · Pre-op care only | $2,137.96 | $2,137.96 | $2,344.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,398.83 Median $23,988.33 Typical High $23,988.33 | Professional | RR · Rental | $2,398.83 | $23,988.33 | $23,988.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | UE · Used equipment | $17,782.79 | $17,782.79 | $17,782.79 |
Where Colorado sits
The same service costs 2.1 times more in Hawaii 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· 42nd of 51
$22,387
HI $47,863NJ $22,387
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.