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 $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.09 Typical High $2.95 | Professional | None | $2.09 | $2.09 | $2.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.57 Typical High $5.37 | Professional | None | $1.86 | $2.57 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $3.09 | Facility | None | $2.95 | $2.95 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $3.55 | Professional | None | $2.45 | $2.45 | $3.55 |
Denver HMP Setting Facility Modifier None Typical Low $1.32 Median $2.82 Typical High $6.17 | Facility | None | $1.32 | $2.82 | $6.17 |
Denver HMP Setting Professional Modifier None Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | None | $1.32 | $1.32 | $1.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.63 Median $6.46 Typical High $10.47 | Professional | None | $3.63 | $6.46 | $10.47 |
Select Health Setting Facility Modifier None Typical Low $4.90 Median $9.12 Typical High $10.47 | Facility | None | $4.90 | $9.12 | $10.47 |
Select Health Setting Professional Modifier None Typical Low $3.47 Median $4.90 Typical High $6.92 | Professional | None | $3.47 | $4.90 | $6.92 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.04 Typical High $3.09 | Professional | None | $1.86 | $2.04 | $3.09 |
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 $0.31 Median $0.31 Typical High $0.44 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.21 Median $0.21 Typical High $0.30 | Professional | 56 · Pre-op care only | $0.21 | $0.21 | $0.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.32 Median $2.57 Typical High $2.57 | Professional | RR · Rental | $0.32 | $2.57 | $2.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.82 Median $1.82 Typical High $2.40 | Professional | UE · Used equipment | $1.82 | $1.82 | $2.40 |
Where Colorado sits
The same service costs 5.5 times more in Kansas than in Delaware. 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· 49th of 51
$2.45
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.