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 $1.82 Median $1.82 Typical High $1.82 | Facility | None | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $2.88 | Professional | None | $1.82 | $1.82 | $2.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $2.24 Typical High $5.89 | Professional | None | $1.82 | $2.24 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.31 | Facility | None | $2.69 | $2.69 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.39 | Professional | None | $2.29 | $2.29 | $3.39 |
Denver HMP Setting Facility Modifier None Typical Low $1.23 Median $2.63 Typical High $5.50 | Facility | None | $1.23 | $2.63 | $5.50 |
Denver HMP Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.24 Median $5.62 Typical High $8.71 | Professional | None | $3.24 | $5.62 | $8.71 |
Select Health Setting Facility Modifier None Typical Low $4.37 Median $7.94 Typical High $9.12 | Facility | None | $4.37 | $7.94 | $9.12 |
Select Health Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $6.03 | Professional | None | $3.63 | $4.37 | $6.03 |
United Setting Professional Modifier None Typical Low $1.70 Median $1.86 Typical High $2.82 | Professional | None | $1.70 | $1.86 | $2.82 |
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 $0.27 Median $0.27 Typical High $0.43 | Professional | 55 · Aftercare only | $0.27 | $0.27 | $0.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.18 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.18 | $0.18 | $0.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.30 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $0.30 | $2.24 | $2.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $2.14 | Professional | UE · Used equipment | $1.58 | $1.58 | $2.14 |
Where Colorado sits
The same service costs 2.3 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· 45th of 51
$2.29
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.