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 $501.19 Median $501.19 Typical High $1,258.93 | Facility | None | $501.19 | $501.19 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $501.19 | Professional | None | $478.63 | $501.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $457.09 Typical High $977.24 | Professional | None | $363.08 | $457.09 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $707.95 | Professional | None | $562.34 | $562.34 | $707.95 |
Denver HMP Setting Facility Modifier None Typical Low $239.88 Median $501.19 Typical High $1,122.02 | Facility | None | $239.88 | $501.19 | $1,122.02 |
Denver HMP Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,041.74 | Professional | None | $707.95 | $1,318.26 | $2,041.74 |
Select Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $2,137.96 | Facility | None | $1,023.29 | $1,905.46 | $2,137.96 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $1,023.29 Typical High $1,288.25 | Professional | None | $660.69 | $1,023.29 | $1,288.25 |
United Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $338.84 Median $371.54 Typical High $575.44 | Professional | None | $338.84 | $371.54 | $575.44 |
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 $239.88 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $239.88 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $95.50 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $70.79 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 56 · Pre-op care only | $47.86 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $45.71 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $338.84 | $338.84 | $338.84 |
Where Colorado sits
The same service costs 2.5 times more in Montana than in Washington, DC. 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· 27th of 51
$562
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.