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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None | $323.59 | $323.59 | $426.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $1,905.46 | Facility | None | $630.96 | $691.83 | $1,905.46 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $851.14 | Professional | None | $309.03 | $389.05 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Denver HMP Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $812.83 | Facility | None | $208.93 | $407.38 | $812.83 |
Denver HMP Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $851.14 Typical High $1,318.26 | Professional | None | $457.09 | $851.14 | $1,318.26 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $1,202.26 Typical High $1,380.38 | Facility | None | $660.69 | $1,202.26 | $1,380.38 |
Select Health Setting Professional Modifier None Typical Low $537.03 Median $660.69 Typical High $831.76 | Professional | None | $537.03 | $660.69 | $831.76 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,047.13 | Facility | None | $371.54 | $371.54 | $1,047.13 |
United Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $489.78 | Professional | None | $288.40 | $323.59 | $489.78 |
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 $162.18 Median $162.18 Typical High $213.80 | Professional | 52 · Reduced service | $162.18 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $64.57 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | 55 · Aftercare only | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $32.36 | $32.36 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $389.05 Typical High $389.05 | Professional | RR · Rental | $38.90 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Where Colorado sits
The same service costs 2.8 times more in Wisconsin 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· 48th of 51
$372
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.