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 $0.95 Median $0.95 Typical High $0.95 | Facility | None | $0.95 | $0.95 | $0.95 |
Aetna Setting Professional Modifier None Typical Low $0.68 Median $0.95 Typical High $1.35 | Professional | None | $0.68 | $0.95 | $1.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.79 Median $1.17 Typical High $2.51 | Professional | None | $0.79 | $1.17 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $0.72 Median $1.35 Typical High $1.35 | Facility | None | $0.72 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.51 | Professional | None | $1.12 | $1.12 | $1.51 |
Denver HMP Setting Facility Modifier None Typical Low $0.62 Median $1.38 Typical High $2.82 | Facility | None | $0.62 | $1.38 | $2.82 |
Denver HMP Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | None | $0.62 | $0.62 | $0.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.66 Median $2.95 Typical High $4.79 | Professional | None | $1.66 | $2.95 | $4.79 |
Select Health Setting Facility Modifier None Typical Low $2.29 Median $4.17 Typical High $4.79 | Facility | None | $2.29 | $4.17 | $4.79 |
Select Health Setting Professional Modifier None Typical Low $1.58 Median $2.29 Typical High $3.16 | Professional | None | $1.58 | $2.29 | $3.16 |
United Setting Professional Modifier None Typical Low $0.85 Median $0.95 Typical High $1.45 | Professional | None | $0.85 | $0.95 | $1.45 |
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 $0.14 Median $0.14 Typical High $0.21 | Professional | 55 · Aftercare only | $0.14 | $0.14 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.10 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.10 | $0.10 | $0.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.17 Median $1.17 Typical High $1.17 | Professional | RR · Rental | $1.17 | $1.17 | $1.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.83 Median $0.83 Typical High $1.12 | Professional | UE · Used equipment | $0.83 | $0.83 | $1.12 |
Where Colorado sits
The same service costs 5.8 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· 50th of 51
$1.12
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.