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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $416.87 Typical High $416.87 | Professional | None | $218.78 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $61.66 Typical High $61.66 | Professional | 55 · Aftercare only | $33.11 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $21.88 Median $41.69 Typical High $41.69 | Professional | 56 · Pre-op care only | $21.88 | $41.69 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,071.52 | Facility | None | $954.99 | $1,047.13 | $1,071.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $501.19 | Professional | None | $263.03 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Denver HMP Setting Facility Modifier None Typical Low $316.23 Median $426.58 Typical High $588.84 | Facility | None | $316.23 | $426.58 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $501.19 Median $602.56 Typical High $794.33 | Professional | None | $501.19 | $602.56 | $794.33 |
Select Health Setting Facility Modifier None Typical Low $501.19 Median $912.01 Typical High $1,047.13 | Facility | None | $501.19 | $912.01 | $1,047.13 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $676.08 | Professional | None | $436.52 | $436.52 | $676.08 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $263.03 | Professional | None | $165.96 | $181.97 | $263.03 |
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 $30.20 Median $346.74 Typical High $346.74 | Professional | RR · Rental | $30.20 | $346.74 | $346.74 |
Where Colorado sits
The same service costs 4.4 times more in Hawaii 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· 28th of 51
$275
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.