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 $1.45 Median $1.45 Typical High $1.45 | Facility | None | $1.45 | $1.45 | $1.45 |
Aetna Setting Professional Modifier None Typical Low $1.07 Median $1.45 Typical High $2.09 | Professional | None | $1.07 | $1.45 | $2.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $1.82 Typical High $4.47 | Professional | None | $1.48 | $1.82 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $1.82 Median $2.04 Typical High $2.04 | Facility | None | $1.82 | $2.04 | $2.04 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $2.40 | Professional | None | $1.74 | $1.74 | $2.40 |
Denver HMP Setting Facility Modifier None Typical Low $0.93 Median $2.09 Typical High $4.37 | Facility | None | $0.93 | $2.09 | $4.37 |
Denver HMP Setting Professional Modifier None Typical Low $0.93 Median $0.93 Typical High $0.93 | Professional | None | $0.93 | $0.93 | $0.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.51 Median $4.47 Typical High $7.24 | Professional | None | $2.51 | $4.47 | $7.24 |
Select Health Setting Facility Modifier None Typical Low $3.47 Median $6.46 Typical High $7.24 | Facility | None | $3.47 | $6.46 | $7.24 |
Select Health Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $4.79 | Professional | None | $2.40 | $3.47 | $4.79 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.45 Typical High $2.14 | Professional | None | $1.29 | $1.45 | $2.14 |
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 $0.22 Median $0.22 Typical High $0.32 | Professional | 55 · Aftercare only | $0.22 | $0.22 | $0.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.15 Median $0.15 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.15 | $0.15 | $0.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.23 Median $1.82 Typical High $1.82 | Professional | RR · Rental | $0.23 | $1.82 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.29 Median $1.29 Typical High $1.58 | Professional | UE · Used equipment | $1.29 | $1.29 | $1.58 |
Where Colorado sits
The same service costs 3.8 times more in Kansas than in Alabama. 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· 48th of 51
$1.74
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.