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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $28.84 | Professional | None | $19.05 | $19.05 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $50.12 | Professional | None | $13.80 | $17.38 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $31.62 | Professional | None | $22.91 | $22.91 | $31.62 |
Denver HMP Setting Facility Modifier None Typical Low $12.02 Median $27.54 Typical High $56.23 | Facility | None | $12.02 | $27.54 | $56.23 |
Denver HMP Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $58.88 Typical High $91.20 | Professional | None | $33.11 | $58.88 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $95.50 | Facility | None | $45.71 | $83.18 | $95.50 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $63.10 | Professional | None | $30.90 | $45.71 | $63.10 |
United Setting Professional Modifier None Typical Low $15.85 Median $18.62 Typical High $28.18 | Professional | None | $15.85 | $18.62 | $28.18 |
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 $2.88 Median $2.88 Typical High $4.27 | Professional | 55 · Aftercare only | $2.88 | $2.88 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $2.88 | Professional | 56 · Pre-op care only | $1.91 | $1.91 | $2.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $17.38 Typical High $17.38 | Professional | RR · Rental | $1.74 | $17.38 | $17.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | UE · Used equipment | $12.88 | $12.88 | $12.88 |
Where Colorado sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$22.91
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.