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 $4.90 Median $4.90 Typical High $4.90 | Facility | None | $4.90 | $4.90 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.41 | Professional | None | $4.90 | $4.90 | $7.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.03 Typical High $15.14 | Professional | None | $4.68 | $6.03 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $7.59 | Facility | None | $6.92 | $6.92 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.13 | Professional | None | $5.89 | $5.89 | $8.13 |
Denver HMP Setting Facility Modifier None Typical Low $3.16 Median $7.08 Typical High $14.45 | Facility | None | $3.16 | $7.08 | $14.45 |
Denver HMP Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.71 Median $15.14 Typical High $24.55 | Professional | None | $8.71 | $15.14 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $24.55 | Facility | None | $11.75 | $21.38 | $24.55 |
Select Health Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $16.22 | Professional | None | $9.33 | $11.75 | $16.22 |
United Setting Professional Modifier None Typical Low $4.37 Median $4.79 Typical High $7.24 | Professional | None | $4.37 | $4.79 | $7.24 |
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 $0.74 Median $0.74 Typical High $1.12 | Professional | 55 · Aftercare only | $0.74 | $0.74 | $1.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.49 Median $0.49 Typical High $0.74 | Professional | 56 · Pre-op care only | $0.49 | $0.49 | $0.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.81 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $0.81 | $6.03 | $6.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.27 Median $4.27 Typical High $5.75 | Professional | UE · Used equipment | $4.27 | $4.27 | $5.75 |
Where Colorado sits
The same service costs 2.1 times more in Idaho than in Colorado. 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· 51st of 51
$5.89
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.