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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $15.49 | Professional | None | $10.72 | $10.72 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $29.51 | Professional | None | $9.77 | $11.48 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.20 | Professional | None | $13.18 | $13.18 | $18.20 |
Denver HMP Setting Facility Modifier None Typical Low $7.08 Median $15.49 Typical High $31.62 | Facility | None | $7.08 | $15.49 | $31.62 |
Denver HMP Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $33.11 Typical High $53.70 | Professional | None | $19.05 | $33.11 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $25.12 Median $46.77 Typical High $53.70 | Facility | None | $25.12 | $46.77 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $35.48 | Professional | None | $20.89 | $25.12 | $35.48 |
United Setting Professional Modifier None Typical Low $9.77 Median $10.96 Typical High $16.22 | Professional | None | $9.77 | $10.96 | $16.22 |
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 $1.62 Median $1.62 Typical High $2.34 | Professional | 55 · Aftercare only | $1.62 | $1.62 | $2.34 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.07 Median $1.07 Typical High $1.55 | Professional | 56 · Pre-op care only | $1.07 | $1.07 | $1.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $1.74 | $11.48 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $10.96 | Professional | UE · Used equipment | $8.13 | $8.13 | $10.96 |
Where Colorado sits
The same service costs 3.5 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· 37th of 51
$13.18
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.