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 $0.85 Median $0.85 Typical High $0.85 | Facility | None | $0.85 | $0.85 | $0.85 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $1.26 | Professional | None | $0.85 | $0.85 | $1.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.83 Median $1.05 Typical High $2.63 | Professional | None | $0.83 | $1.05 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $1.20 Typical High $1.29 | Facility | None | $1.20 | $1.20 | $1.29 |
Cigna Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.38 | Professional | None | $1.02 | $1.02 | $1.38 |
Denver HMP Setting Facility Modifier None Typical Low $0.55 Median $1.29 Typical High $2.51 | Facility | None | $0.55 | $1.29 | $2.51 |
Denver HMP Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.48 Median $2.63 Typical High $4.27 | Professional | None | $1.48 | $2.63 | $4.27 |
Select Health Setting Facility Modifier None Typical Low $2.00 Median $3.72 Typical High $4.27 | Facility | None | $2.00 | $3.72 | $4.27 |
Select Health Setting Professional Modifier None Typical Low $1.62 Median $2.00 Typical High $2.82 | Professional | None | $1.62 | $2.00 | $2.82 |
United Setting Professional Modifier None Typical Low $0.78 Median $0.85 Typical High $1.29 | Professional | None | $0.78 | $0.85 | $1.29 |
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 $0.13 Median $0.13 Typical High $0.19 | Professional | 55 · Aftercare only | $0.13 | $0.13 | $0.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.09 Typical High $0.13 | Professional | 56 · Pre-op care only | $0.09 | $0.09 | $0.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.74 Median $0.74 Typical High $1.00 | Professional | UE · Used equipment | $0.74 | $0.74 | $1.00 |
Where Colorado sits
The same service costs 2.1 times more in Kansas than in Kentucky. 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· 49th of 51
$1.02
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.