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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $43.65 | Professional | None | $25.12 | $25.12 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $75.86 | Professional | None | $24.55 | $30.90 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | None | $34.67 | $34.67 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $18.62 Median $38.02 Typical High $77.62 | Facility | None | $18.62 | $38.02 | $77.62 |
Denver HMP Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $77.62 Typical High $117.49 | Professional | None | $44.67 | $77.62 | $117.49 |
Select Health Setting Facility Modifier None Typical Low $58.88 Median $109.65 Typical High $123.03 | Facility | None | $58.88 | $109.65 | $123.03 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $58.88 Typical High $83.18 | Professional | None | $52.48 | $58.88 | $83.18 |
United Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $43.65 | Professional | None | $26.30 | $28.84 | $43.65 |
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 $3.72 Median $3.72 Typical High $6.61 | Professional | 55 · Aftercare only | $3.72 | $3.72 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $4.37 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $4.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $4.57 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | UE · Used equipment | $21.88 | $21.88 | $28.84 |
Where Colorado sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 41st of 51
$34.67
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.