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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $977.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $489.78 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $338.84 Typical High $338.84 | Professional | 53 · Discontinued | $194.98 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $147.91 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $169.82 Typical High $169.82 | Professional | 56 · Pre-op care only | $97.72 | $169.82 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $4,365.16 Typical High $4,365.16 | Facility | None | $3,981.07 | $4,365.16 | $4,365.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,148.15 Median $1,621.81 Typical High $2,290.87 | Professional | None | $1,148.15 | $1,621.81 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Denver HMP Setting Facility Modifier None Typical Low $1,348.96 Median $1,737.80 Typical High $2,454.71 | Facility | None | $1,348.96 | $1,737.80 | $2,454.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,041.74 Median $2,454.71 Typical High $3,311.31 | Professional | None | $2,041.74 | $2,454.71 | $3,311.31 |
Select Health Setting Facility Modifier None Typical Low $2,041.74 Median $3,801.89 Typical High $4,265.80 | Facility | None | $2,041.74 | $3,801.89 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,754.23 | Professional | None | $1,819.70 | $1,819.70 | $2,754.23 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $1,096.48 | Professional | None | $691.83 | $776.25 | $1,096.48 |
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 $158.49 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $158.49 | $1,445.44 | $1,445.44 |
Where Colorado sits
The same service costs 2.7 times more in Montana than in New Jersey. 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· 26th of 51
$1,175
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.