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 $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.80 | Professional | None | $2.51 | $2.51 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $3.02 Typical High $7.76 | Professional | None | $2.51 | $3.02 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.80 | Professional | None | $2.45 | $3.24 | $3.80 |
Denver HMP Setting Facility Modifier None Typical Low $1.58 Median $3.63 Typical High $7.41 | Facility | None | $1.58 | $3.63 | $7.41 |
Denver HMP Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $7.76 Typical High $12.59 | Professional | None | $4.47 | $7.76 | $12.59 |
Select Health Setting Facility Modifier None Typical Low $6.03 Median $10.96 Typical High $12.59 | Facility | None | $6.03 | $10.96 | $12.59 |
Select Health Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $8.32 | Professional | None | $4.79 | $6.03 | $8.32 |
United Setting Professional Modifier None Typical Low $2.24 Median $2.45 Typical High $3.72 | Professional | None | $2.24 | $2.45 | $3.72 |
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 $0.38 Median $0.38 Typical High $0.56 | Professional | 55 · Aftercare only | $0.38 | $0.38 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.25 Median $0.25 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.25 | $0.25 | $0.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $2.95 Typical High $2.95 | Professional | RR · Rental | $0.28 | $2.95 | $2.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | UE · Used equipment | $2.19 | $2.19 | $2.24 |
Where Colorado sits
The same service costs 3.2 times more in Kansas 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· 48th of 51
$3.09
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.