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 $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $3.47 Typical High $5.13 | Professional | None | $2.24 | $3.47 | $5.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $10.47 | Professional | None | $3.63 | $4.27 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.13 | Facility | None | $4.79 | $4.79 | $5.13 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.62 | Professional | None | $4.07 | $4.07 | $5.62 |
Denver HMP Setting Facility Modifier None Typical Low $2.19 Median $4.90 Typical High $10.23 | Facility | None | $2.19 | $4.90 | $10.23 |
Denver HMP Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $10.72 Typical High $16.22 | Professional | None | $6.03 | $10.72 | $16.22 |
Select Health Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $16.98 | Facility | None | $8.13 | $15.14 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $11.48 | Professional | None | $6.46 | $8.13 | $11.48 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.39 Typical High $5.13 | Professional | None | $3.09 | $3.39 | $5.13 |
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 $0.52 Median $0.52 Typical High $0.78 | Professional | 55 · Aftercare only | $0.52 | $0.52 | $0.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.52 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $0.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.56 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $0.56 | $4.27 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.02 Median $3.02 Typical High $3.39 | Professional | UE · Used equipment | $3.02 | $3.02 | $3.39 |
Where Colorado sits
The same service costs 2.3 times more in Kansas than in Utah. 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· 49th of 51
$4.07
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.