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 $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $8.71 | Professional | None | $5.75 | $5.75 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.08 Typical High $17.78 | Professional | None | $5.50 | $7.08 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $9.55 | Professional | None | $6.92 | $6.92 | $9.55 |
Denver HMP Setting Facility Modifier None Typical Low $3.72 Median $8.32 Typical High $16.98 | Facility | None | $3.72 | $8.32 | $16.98 |
Denver HMP Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $17.78 Typical High $27.54 | Professional | None | $10.23 | $17.78 | $27.54 |
Select Health Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $28.84 | Facility | None | $13.80 | $25.12 | $28.84 |
Select Health Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $19.05 | Professional | None | $10.96 | $13.80 | $19.05 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.75 Typical High $8.51 | Professional | None | $5.13 | $5.75 | $8.51 |
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 $0.87 Median $0.87 Typical High $1.32 | Professional | 55 · Aftercare only | $0.87 | $0.87 | $1.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.58 Median $0.58 Typical High $0.87 | Professional | 56 · Pre-op care only | $0.58 | $0.58 | $0.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.68 Median $6.76 Typical High $6.76 | Professional | RR · Rental | $0.68 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | UE · Used equipment | $5.01 | $5.01 | $5.01 |
Where Colorado sits
The same service costs 5.4 times more in Kansas 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· 46th of 51
$6.92
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.