How much rates vary
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None | $138.04 | $138.04 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $794.33 | Facility | None | $269.15 | $295.12 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $380.19 | Professional | None | $114.82 | $165.96 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $173.78 Typical High $338.84 | Facility | None | $87.10 | $173.78 | $338.84 |
Denver HMP Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $562.34 | Professional | None | $204.17 | $363.08 | $562.34 |
Select Health Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $588.84 | Facility | None | $275.42 | $512.86 | $588.84 |
Select Health Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $346.74 | Professional | None | $208.93 | $275.42 | $346.74 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $446.68 | Facility | None | $144.54 | $144.54 | $446.68 |
United Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $208.93 | Professional | None | $123.03 | $134.90 | $208.93 |
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 $67.61 Median $67.61 Typical High $91.20 | Professional | 52 · Reduced service | $67.61 | $67.61 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $27.54 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.42 Median $20.42 Typical High $27.54 | Professional | 55 · Aftercare only | $20.42 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 56 · Pre-op care only | $13.80 | $13.80 | $18.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.60 Median $165.96 Typical High $165.96 | Professional | RR · Rental | $16.60 | $165.96 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $125.89 | $125.89 | $125.89 |
Where Colorado sits
The same service costs 2.4 times more in Hawaii 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· 49th of 51
$151
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.