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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | None | $239.88 | $239.88 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $512.86 Typical High $1,380.38 | Facility | None | $467.74 | $512.86 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $616.60 | Professional | None | $190.55 | $281.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $295.12 | Professional | None | $213.80 | $213.80 | $295.12 |
Denver HMP Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $575.44 | Facility | None | $134.90 | $269.15 | $575.44 |
Denver HMP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $630.96 Typical High $977.24 | Professional | None | $346.74 | $630.96 | $977.24 |
Select Health Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $1,023.29 | Facility | None | $489.78 | $891.25 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $338.84 Median $489.78 Typical High $676.08 | Professional | None | $338.84 | $489.78 | $676.08 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | None | $190.55 | $208.93 | $323.59 |
4 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 55 · Aftercare only Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | 55 · Aftercare only | $35.48 | $35.48 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $23.99 Typical High $25.12 | Professional | 56 · Pre-op care only | $23.99 | $23.99 | $25.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $28.18 | $281.84 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $213.80 | $213.80 | $213.80 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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
$240
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.