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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $7.94 | Professional | None | $3.80 | $5.25 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $16.22 | Professional | None | $5.25 | $6.61 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.76 | Facility | None | $7.41 | $7.41 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.71 | Professional | None | $6.31 | $6.31 | $8.71 |
Denver HMP Setting Facility Modifier None Typical Low $3.39 Median $7.59 Typical High $15.49 | Facility | None | $3.39 | $7.59 | $15.49 |
Denver HMP Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.12 Median $16.22 Typical High $25.12 | Professional | None | $9.12 | $16.22 | $25.12 |
Select Health Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $26.30 | Facility | None | $12.59 | $22.91 | $26.30 |
Select Health Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $17.38 | Professional | None | $10.00 | $12.59 | $17.38 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.25 Typical High $7.76 | Professional | None | $4.68 | $5.25 | $7.76 |
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 $0.79 Median $0.79 Typical High $1.20 | Professional | 55 · Aftercare only | $0.79 | $0.79 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.52 Median $0.52 Typical High $0.79 | Professional | 56 · Pre-op care only | $0.52 | $0.52 | $0.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.87 Median $6.46 Typical High $6.46 | Professional | RR · Rental | $0.87 | $6.46 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $4.57 Typical High $6.17 | Professional | UE · Used equipment | $4.57 | $4.57 | $6.17 |
Where Colorado sits
The same service costs 2.0 times more in Montana than in Florida. 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· 48th of 51
$6.31
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.