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 $2.00 Median $2.00 Typical High $2.00 | Facility | None | $2.00 | $2.00 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.82 | Professional | None | $2.00 | $2.00 | $2.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $2.45 Typical High $5.25 | Professional | None | $1.86 | $2.45 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.57 | Professional | None | $1.91 | $2.19 | $2.57 |
Denver HMP Setting Facility Modifier None Typical Low $1.26 Median $2.75 Typical High $5.89 | Facility | None | $1.26 | $2.75 | $5.89 |
Denver HMP Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | None | $1.26 | $1.26 | $1.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.55 Median $6.17 Typical High $9.33 | Professional | None | $3.55 | $6.17 | $9.33 |
Select Health Setting Facility Modifier None Typical Low $4.68 Median $8.71 Typical High $10.00 | Facility | None | $4.68 | $8.71 | $10.00 |
Select Health Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $6.61 | Professional | None | $3.31 | $4.68 | $6.61 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.95 Typical High $2.95 | Professional | None | $1.78 | $1.95 | $2.95 |
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 $0.30 Median $0.30 Typical High $0.42 | Professional | 55 · Aftercare only | $0.30 | $0.30 | $0.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.28 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.24 Median $2.45 Typical High $2.45 | Professional | RR · Rental | $0.24 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.74 Median $1.74 Typical High $2.29 | Professional | UE · Used equipment | $1.74 | $1.74 | $2.29 |
Where Colorado sits
The same service costs 2.5 times more in Hawaii than in Vermont. 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
$2.19
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.