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 $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $3.31 | Professional | None | $2.24 | $2.24 | $3.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.75 Typical High $6.92 | Professional | None | $2.19 | $2.75 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.63 | Facility | None | $3.16 | $3.16 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $3.72 | Professional | None | $2.63 | $2.63 | $3.72 |
Denver HMP Setting Facility Modifier None Typical Low $1.41 Median $3.24 Typical High $6.61 | Facility | None | $1.41 | $3.24 | $6.61 |
Denver HMP Setting Professional Modifier None Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | None | $1.41 | $1.41 | $1.41 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.89 Median $6.92 Typical High $10.72 | Professional | None | $3.89 | $6.92 | $10.72 |
Select Health Setting Facility Modifier None Typical Low $5.37 Median $9.77 Typical High $11.22 | Facility | None | $5.37 | $9.77 | $11.22 |
Select Health Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $7.41 | Professional | None | $4.27 | $5.37 | $7.41 |
United Setting Professional Modifier None Typical Low $2.00 Median $2.19 Typical High $3.31 | Professional | None | $2.00 | $2.19 | $3.31 |
6 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 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.70 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.68 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.34 Median $0.34 Typical High $0.51 | Professional | 55 · Aftercare only | $0.34 | $0.34 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.37 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $0.37 | $2.75 | $2.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.95 Median $1.95 Typical High $2.57 | Professional | UE · Used equipment | $1.95 | $1.95 | $2.57 |
Where Colorado sits
The same service costs 2.1 times more in Hawaii than in Connecticut. 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
$2.63
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.