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 $15.85 Median $15.85 Typical High $23.99 | Facility | None | $15.85 | $15.85 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.91 | Professional | None | $15.85 | $15.85 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $41.69 | Professional | None | $14.13 | $16.60 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $21.88 | Facility | None | $18.20 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.30 | Professional | None | $18.62 | $18.62 | $26.30 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $22.91 Typical High $46.77 | Facility | None | $10.00 | $22.91 | $46.77 |
Denver HMP Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $27.54 Median $48.98 Typical High $79.43 | Professional | None | $27.54 | $48.98 | $79.43 |
Select Health Setting Facility Modifier None Typical Low $38.02 Median $69.18 Typical High $79.43 | Facility | None | $38.02 | $69.18 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $52.48 | Professional | None | $26.30 | $38.02 | $52.48 |
United Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $23.44 | Professional | None | $13.18 | $15.49 | $23.44 |
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 $2.40 Median $2.40 Typical High $3.47 | Professional | 55 · Aftercare only | $2.40 | $2.40 | $3.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.58 Typical High $2.29 | Professional | 56 · Pre-op care only | $1.58 | $1.58 | $2.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $1.66 | $16.60 | $16.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | UE · Used equipment | $12.59 | $12.59 | $12.59 |
Where Colorado sits
The same service costs 2.9 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· 46th of 51
$18.62
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.