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 $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.72 Typical High $5.50 | Professional | None | $2.51 | $3.72 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.47 Typical High $11.75 | Professional | None | $2.45 | $3.47 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.17 | Professional | None | $4.57 | $4.57 | $6.17 |
Denver HMP Setting Facility Modifier None Typical Low $2.45 Median $5.37 Typical High $11.22 | Facility | None | $2.45 | $5.37 | $11.22 |
Denver HMP Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $11.48 Typical High $17.78 | Professional | None | $6.46 | $11.48 | $17.78 |
Select Health Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $18.62 | Facility | None | $8.91 | $16.60 | $18.62 |
Select Health Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $12.30 | Professional | None | $6.92 | $8.91 | $12.30 |
United Setting Professional Modifier None Typical Low $3.24 Median $3.80 Typical High $5.75 | Professional | None | $3.24 | $3.80 | $5.75 |
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 $0.56 Median $0.56 Typical High $0.83 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $0.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.38 Median $0.38 Typical High $0.56 | Professional | 56 · Pre-op care only | $0.38 | $0.38 | $0.56 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.34 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $0.34 | $3.47 | $3.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | UE · Used equipment | $2.57 | $2.57 | $2.57 |
Where Colorado sits
The same service costs 4.2 times more in Hawaii 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· 39th of 51
$4.57
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.