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 $2.95 Median $2.95 Typical High $2.95 | Facility | None | $2.95 | $2.95 | $2.95 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $4.27 | Professional | None | $2.95 | $2.95 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $3.63 Typical High $9.12 | Professional | None | $2.95 | $3.63 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.47 | Facility | None | $4.17 | $4.17 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $4.90 | Professional | None | $3.55 | $3.55 | $4.90 |
Denver HMP Setting Facility Modifier None Typical Low $1.91 Median $4.27 Typical High $8.71 | Facility | None | $1.91 | $4.27 | $8.71 |
Denver HMP Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.13 Median $9.12 Typical High $14.13 | Professional | None | $5.13 | $9.12 | $14.13 |
Select Health Setting Facility Modifier None Typical Low $7.08 Median $12.88 Typical High $14.79 | Facility | None | $7.08 | $12.88 | $14.79 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $7.08 Typical High $9.77 | Professional | None | $5.62 | $7.08 | $9.77 |
United Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $4.37 | Professional | None | $2.63 | $2.95 | $4.37 |
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 $0.44 Median $0.44 Typical High $0.68 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.30 Median $0.30 Typical High $0.45 | Professional | 56 · Pre-op care only | $0.30 | $0.30 | $0.45 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.49 Median $3.63 Typical High $3.63 | Professional | RR · Rental | $0.49 | $3.63 | $3.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $3.47 | Professional | UE · Used equipment | $2.57 | $2.57 | $3.47 |
Where Colorado sits
The same service costs 2.1 times more in Kansas than in Colorado. 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· 51st of 51
$3.55
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.