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 $1.62 Median $1.62 Typical High $1.62 | Facility | None | $1.62 | $1.62 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $1.05 Median $1.62 Typical High $2.45 | Professional | None | $1.05 | $1.62 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.00 Typical High $5.01 | Professional | None | $1.58 | $2.00 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.40 | Facility | None | $2.29 | $2.29 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.69 | Professional | None | $1.95 | $1.95 | $2.69 |
Denver HMP Setting Facility Modifier None Typical Low $1.05 Median $2.34 Typical High $4.79 | Facility | None | $1.05 | $2.34 | $4.79 |
Denver HMP Setting Professional Modifier None Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | None | $1.05 | $1.05 | $1.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.82 Median $5.01 Typical High $7.76 | Professional | None | $2.82 | $5.01 | $7.76 |
Select Health Setting Facility Modifier None Typical Low $3.89 Median $7.08 Typical High $8.13 | Facility | None | $3.89 | $7.08 | $8.13 |
Select Health Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $5.37 | Professional | None | $3.09 | $3.89 | $5.37 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.58 Typical High $2.40 | Professional | None | $1.45 | $1.58 | $2.40 |
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 $0.24 Median $0.24 Typical High $0.37 | Professional | 55 · Aftercare only | $0.24 | $0.24 | $0.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | RR · Rental | $2.00 | $2.00 | $2.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.41 Median $1.41 Typical High $1.91 | Professional | UE · Used equipment | $1.41 | $1.41 | $1.91 |
Where Colorado sits
The same service costs 2.1 times more in Idaho than in New Jersey. 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
$1.95
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.