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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.13 | Professional | None | $5.37 | $5.37 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $16.60 | Professional | None | $5.13 | $6.76 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.94 | Facility | None | $7.59 | $7.59 | $7.94 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $8.91 | Professional | None | $6.46 | $6.46 | $8.91 |
Denver HMP Setting Facility Modifier None Typical Low $3.47 Median $7.76 Typical High $16.22 | Facility | None | $3.47 | $7.76 | $16.22 |
Denver HMP Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $16.60 Typical High $25.70 | Professional | None | $9.55 | $16.60 | $25.70 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $26.92 | Facility | None | $12.88 | $23.99 | $26.92 |
Select Health Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $18.20 | Professional | None | $10.23 | $12.88 | $18.20 |
United Setting Professional Modifier None Typical Low $4.79 Median $5.37 Typical High $8.13 | Professional | None | $4.79 | $5.37 | $8.13 |
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 $0.81 Median $0.81 Typical High $1.23 | Professional | 55 · Aftercare only | $0.81 | $0.81 | $1.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.54 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.54 | $0.54 | $0.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.89 Median $6.76 Typical High $6.76 | Professional | RR · Rental | $0.89 | $6.76 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | UE · Used equipment | $4.79 | $4.79 | $6.31 |
Where Colorado sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$6.46
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.