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 $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.47 Typical High $6.31 | Professional | None | $4.17 | $4.47 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $12.30 | Professional | None | $4.07 | $5.13 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.61 | Facility | None | $6.17 | $6.17 | $6.61 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $7.08 | Professional | None | $5.25 | $5.25 | $7.08 |
Denver HMP Setting Facility Modifier None Typical Low $2.82 Median $6.31 Typical High $13.18 | Facility | None | $2.82 | $6.31 | $13.18 |
Denver HMP Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $13.49 Typical High $20.89 | Professional | None | $7.59 | $13.49 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $10.47 Median $19.50 Typical High $21.88 | Facility | None | $10.47 | $19.50 | $21.88 |
Select Health Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $14.79 | Professional | None | $7.41 | $10.47 | $14.79 |
United Setting Professional Modifier None Typical Low $3.89 Median $4.37 Typical High $6.61 | Professional | None | $3.89 | $4.37 | $6.61 |
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 $0.66 Median $0.66 Typical High $0.95 | Professional | 55 · Aftercare only | $0.66 | $0.66 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.44 Median $0.44 Typical High $0.63 | Professional | 56 · Pre-op care only | $0.44 | $0.44 | $0.63 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.71 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $0.71 | $5.13 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $3.63 Typical High $4.79 | Professional | UE · Used equipment | $3.63 | $3.63 | $4.79 |
Where Colorado sits
The same service costs 2.1 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· 44th of 51
$5.25
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.