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 $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $6.03 | Professional | None | $3.02 | $4.17 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $12.88 | Professional | None | $3.47 | $4.07 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.24 | Facility | None | $5.75 | $5.75 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $7.24 | Professional | None | $4.90 | $4.90 | $7.24 |
Denver HMP Setting Facility Modifier None Typical Low $2.63 Median $5.89 Typical High $12.30 | Facility | None | $2.63 | $5.89 | $12.30 |
Denver HMP Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.92 Median $12.30 Typical High $19.50 | Professional | None | $6.92 | $12.30 | $19.50 |
Select Health Setting Facility Modifier None Typical Low $9.77 Median $18.20 Typical High $20.89 | Facility | None | $9.77 | $18.20 | $20.89 |
Select Health Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $13.80 | Professional | None | $7.59 | $9.77 | $13.80 |
United Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $6.17 | Professional | None | $3.47 | $4.07 | $6.17 |
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 $2.09 Median $2.09 Typical High $3.02 | Professional | 52 · Reduced service | $2.09 | $2.09 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $1.20 | Professional | 53 · Discontinued | $0.83 | $0.83 | $1.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.62 Median $0.62 Typical High $0.89 | Professional | 55 · Aftercare only | $0.62 | $0.62 | $0.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.42 Median $0.42 Typical High $0.60 | Professional | 56 · Pre-op care only | $0.42 | $0.42 | $0.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.41 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $0.41 | $4.07 | $4.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | UE · Used equipment | $3.09 | $3.09 | $3.09 |
Where Colorado sits
The same service costs 2.5 times more in Montana than in New Hampshire. 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· 42nd of 51
$4.90
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.