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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $13.49 | Professional | None | $9.55 | $9.55 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $25.12 | Professional | None | $8.13 | $10.00 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.60 | Professional | None | $11.48 | $11.48 | $16.60 |
Denver HMP Setting Facility Modifier None Typical Low $6.17 Median $13.49 Typical High $28.18 | Facility | None | $6.17 | $13.49 | $28.18 |
Denver HMP Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $29.51 Typical High $44.67 | Professional | None | $16.60 | $29.51 | $44.67 |
Select Health Setting Facility Modifier None Typical Low $22.39 Median $41.69 Typical High $47.86 | Facility | None | $22.39 | $41.69 | $47.86 |
Select Health Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $31.62 | Professional | None | $17.38 | $22.39 | $31.62 |
United Setting Professional Modifier None Typical Low $7.94 Median $9.55 Typical High $14.45 | Professional | None | $7.94 | $9.55 | $14.45 |
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 $1.45 Median $1.45 Typical High $2.00 | Professional | 55 · Aftercare only | $1.45 | $1.45 | $2.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.95 Median $0.95 Typical High $1.35 | Professional | 56 · Pre-op care only | $0.95 | $0.95 | $1.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $1.00 | $10.00 | $10.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | UE · Used equipment | $7.59 | $7.59 | $7.59 |
Where Colorado sits
The same service costs 2.8 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· 42nd of 51
$11.48
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.