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 $1.07 Median $1.07 Typical High $1.07 | Facility | None | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $1.07 Median $1.07 Typical High $1.62 | Professional | None | $1.07 | $1.07 | $1.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $1.32 Typical High $3.31 | Professional | None | $1.07 | $1.32 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.58 | Facility | None | $1.51 | $1.51 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.78 | Professional | None | $1.29 | $1.29 | $1.78 |
Denver HMP Setting Facility Modifier None Typical Low $0.68 Median $1.55 Typical High $3.24 | Facility | None | $0.68 | $1.55 | $3.24 |
Denver HMP Setting Professional Modifier None Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | None | $0.68 | $0.68 | $0.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.86 Median $3.31 Typical High $5.13 | Professional | None | $1.86 | $3.31 | $5.13 |
Select Health Setting Facility Modifier None Typical Low $2.57 Median $4.79 Typical High $5.37 | Facility | None | $2.57 | $4.79 | $5.37 |
Select Health Setting Professional Modifier None Typical Low $2.04 Median $2.57 Typical High $3.55 | Professional | None | $2.04 | $2.57 | $3.55 |
United Setting Professional Modifier None Typical Low $0.95 Median $1.07 Typical High $1.58 | Professional | None | $0.95 | $1.07 | $1.58 |
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 $0.16 Median $0.16 Typical High $0.24 | Professional | 55 · Aftercare only | $0.16 | $0.16 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.11 Median $0.11 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.11 | $0.11 | $0.16 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.32 Typical High $1.32 | Professional | RR · Rental | $1.32 | $1.32 | $1.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.93 Median $0.93 Typical High $1.26 | Professional | UE · Used equipment | $0.93 | $0.93 | $1.26 |
Where Colorado sits
The same service costs 2.1 times more in Idaho 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· 47th of 51
$1.29
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.