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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $15.85 | Professional | None | $9.12 | $9.12 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $28.18 | Professional | None | $8.91 | $10.72 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Facility | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | None | $12.88 | $12.88 | $17.78 |
Denver HMP Setting Facility Modifier None Typical Low $6.92 Median $14.13 Typical High $30.90 | Facility | None | $6.92 | $14.13 | $30.90 |
Denver HMP Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | None | $6.92 | $6.92 | $6.92 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $45.71 | Professional | None | $16.22 | $28.18 | $45.71 |
Select Health Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $45.71 | Facility | None | $21.88 | $40.74 | $45.71 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $30.90 | Professional | None | $16.60 | $21.88 | $30.90 |
United Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $16.22 | Professional | None | $9.12 | $10.72 | $16.22 |
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 $1.38 Median $1.38 Typical High $2.34 | Professional | 55 · Aftercare only | $1.38 | $1.38 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.91 Median $0.91 Typical High $1.58 | Professional | 56 · Pre-op care only | $0.91 | $0.91 | $1.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $1.07 | $10.72 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | UE · Used equipment | $8.13 | $8.13 | $8.13 |
Where Colorado sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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· 43rd of 51
$12.88
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.