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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $38.90 | Professional | None | $23.44 | $23.44 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $83.18 | Professional | None | $22.91 | $26.92 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $38.02 | Facility | None | $34.67 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $44.67 | Professional | None | $32.36 | $32.36 | $44.67 |
Denver HMP Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $69.18 | Facility | None | $17.38 | $33.11 | $69.18 |
Denver HMP Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $109.65 | Professional | None | $40.74 | $72.44 | $109.65 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $114.82 | Facility | None | $54.95 | $102.33 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $77.62 | Professional | None | $44.67 | $54.95 | $77.62 |
United Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | None | $22.91 | $26.92 | $40.74 |
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 $3.47 Median $3.47 Typical High $5.89 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $3.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $2.69 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | UE · Used equipment | $20.42 | $20.42 | $20.42 |
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· 42nd of 51
$32.36
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.