How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $79.43 | Professional | None | $41.69 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $20.89 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $8.32 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $6.17 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $7.94 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.17 | $7.94 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $181.97 Median $199.53 Typical High $204.17 | Facility | None | $181.97 | $199.53 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $64.57 Typical High $95.50 | Professional | None | $48.98 | $64.57 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Denver HMP Setting Facility Modifier None Typical Low $64.57 Median $81.28 Typical High $112.20 | Facility | None | $64.57 | $81.28 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $95.50 Median $114.82 Typical High $151.36 | Professional | None | $95.50 | $114.82 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $173.78 Typical High $199.53 | Facility | None | $95.50 | $173.78 | $199.53 |
Select Health Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $52.48 | Professional | None | $33.11 | $36.31 | $52.48 |
1 more rate 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.03 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $6.03 | $66.07 | $66.07 |
Where Colorado sits
The same service costs 2.8 times more in Montana than in Alabama. 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· 29th of 51
$54.95
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.