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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $11.75 | Professional | None | $7.94 | $7.94 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $27.54 | Professional | None | $7.59 | $9.33 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $12.30 | Facility | None | $8.91 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $16.22 | Professional | None | $10.47 | $10.47 | $16.22 |
Denver HMP Setting Facility Modifier None Typical Low $5.62 Median $11.48 Typical High $23.44 | Facility | None | $5.62 | $11.48 | $23.44 |
Denver HMP Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | None | $5.62 | $5.62 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $38.90 | Professional | None | $13.80 | $24.55 | $38.90 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $38.90 | Facility | None | $18.62 | $34.67 | $38.90 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $26.30 | Professional | None | $16.60 | $18.62 | $26.30 |
United Setting Professional Modifier None Typical Low $7.41 Median $8.71 Typical High $13.18 | Professional | None | $7.41 | $8.71 | $13.18 |
4 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 55 · Aftercare only Typical Low $1.17 Median $1.17 Typical High $1.86 | Professional | 55 · Aftercare only | $1.17 | $1.17 | $1.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $0.79 Typical High $1.23 | Professional | 56 · Pre-op care only | $0.79 | $0.79 | $1.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.93 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $0.93 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | UE · Used equipment | $7.08 | $7.08 | $7.08 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 44th of 51
$10.47
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.