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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | None | $28.84 | $28.84 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $87.10 | Professional | None | $28.18 | $35.48 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $18.20 Median $40.74 Typical High $85.11 | Facility | None | $18.20 | $40.74 | $85.11 |
Denver HMP Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $89.13 Typical High $134.90 | Professional | None | $51.29 | $89.13 | $134.90 |
Select Health Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $141.25 | Facility | None | $67.61 | $125.89 | $141.25 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $95.50 | Professional | None | $53.70 | $67.61 | $95.50 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $42.66 | Professional | None | $25.70 | $28.18 | $42.66 |
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 $4.27 Median $4.27 Typical High $6.46 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $4.27 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $4.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | UE · Used equipment | $25.12 | $25.12 | $33.11 |
Where Colorado sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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· 46th of 51
$33.88
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.