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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $8.91 | Professional | None | $5.89 | $5.89 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $18.20 | Professional | None | $5.62 | $7.24 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $9.77 | Professional | None | $7.08 | $7.08 | $9.77 |
Denver HMP Setting Facility Modifier None Typical Low $3.80 Median $8.51 Typical High $17.78 | Facility | None | $3.80 | $8.51 | $17.78 |
Denver HMP Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $18.20 Typical High $28.18 | Professional | None | $10.23 | $18.20 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $14.13 Median $26.30 Typical High $29.51 | Facility | None | $14.13 | $26.30 | $29.51 |
Select Health Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $19.50 | Professional | None | $11.22 | $14.13 | $19.50 |
United Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $8.71 | Professional | None | $5.25 | $5.89 | $8.71 |
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 $0.89 Median $0.89 Typical High $1.35 | Professional | 55 · Aftercare only | $0.89 | $0.89 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.59 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.59 | $0.59 | $0.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.98 Median $7.24 Typical High $7.24 | Professional | RR · Rental | $0.98 | $7.24 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $5.13 Typical High $6.92 | Professional | UE · Used equipment | $5.13 | $5.13 | $6.92 |
Where Colorado sits
The same service costs 2.1 times more in Idaho than in Delaware. 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
$7.08
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.