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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | None | $398.11 | $398.11 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $776.25 Median $851.14 Typical High $2,344.23 | Facility | None | $776.25 | $851.14 | $2,344.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $316.23 Median $602.56 Typical High $1,047.13 | Professional | None | $316.23 | $602.56 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
Denver HMP Setting Facility Modifier None Typical Low $257.04 Median $501.19 Typical High $1,000.00 | Facility | None | $257.04 | $501.19 | $1,000.00 |
Denver HMP Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $562.34 Median $1,023.29 Typical High $1,621.81 | Professional | None | $562.34 | $1,023.29 | $1,621.81 |
Select Health Setting Facility Modifier None Typical Low $812.83 Median $1,479.11 Typical High $1,698.24 | Facility | None | $812.83 | $1,479.11 | $1,698.24 |
Select Health Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $1,122.02 | Professional | None | $616.60 | $812.83 | $1,122.02 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,288.25 | Facility | None | $398.11 | $398.11 | $1,288.25 |
United Setting Professional Modifier None Typical Low $354.81 Median $398.11 Typical High $602.56 | Professional | None | $354.81 | $398.11 | $602.56 |
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 $199.53 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $199.53 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | 55 · Aftercare only | $58.88 | $58.88 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 56 · Pre-op care only | $39.81 | $39.81 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $616.60 Typical High $616.60 | Professional | RR · Rental | $60.26 | $616.60 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | UE · Used equipment | $446.68 | $446.68 | $446.68 |
Where Colorado sits
The same service costs 2.0 times more in Iowa 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· 38th of 51
$589
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.