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 $1.32 Median $1.32 Typical High $1.32 | Facility | None | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $2.00 | Professional | None | $1.32 | $1.32 | $2.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.17 Median $1.38 Typical High $4.07 | Professional | None | $1.17 | $1.38 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.29 | Facility | None | $1.86 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $2.29 | Professional | None | $1.58 | $1.58 | $2.29 |
Denver HMP Setting Facility Modifier None Typical Low $0.83 Median $1.91 Typical High $3.98 | Facility | None | $0.83 | $1.91 | $3.98 |
Denver HMP Setting Professional Modifier None Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | None | $0.83 | $0.83 | $0.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.29 Median $4.07 Typical High $6.61 | Professional | None | $2.29 | $4.07 | $6.61 |
Select Health Setting Facility Modifier None Typical Low $3.16 Median $5.89 Typical High $6.61 | Facility | None | $3.16 | $5.89 | $6.61 |
Select Health Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $4.47 | Professional | None | $2.51 | $3.16 | $4.47 |
United Setting Professional Modifier None Typical Low $1.12 Median $1.32 Typical High $1.95 | Professional | None | $1.12 | $1.32 | $1.95 |
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 $0.20 Median $0.20 Typical High $0.30 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.13 Median $0.13 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.13 | $0.13 | $0.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.14 Median $1.38 Typical High $1.38 | Professional | RR · Rental | $0.14 | $1.38 | $1.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | UE · Used equipment | $1.05 | $1.05 | $1.05 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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
$1.58
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.