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 $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.72 | Professional | None | $7.08 | $7.08 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $21.88 | Professional | None | $6.03 | $7.59 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $11.48 | Professional | None | $8.51 | $8.51 | $11.48 |
Denver HMP Setting Facility Modifier None Typical Low $4.57 Median $10.00 Typical High $21.38 | Facility | None | $4.57 | $10.00 | $21.38 |
Denver HMP Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $21.88 Typical High $35.48 | Professional | None | $12.30 | $21.88 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $16.98 Median $31.62 Typical High $35.48 | Facility | None | $16.98 | $31.62 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $23.99 | Professional | None | $11.75 | $16.98 | $23.99 |
United Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $10.72 | Professional | None | $6.31 | $7.08 | $10.72 |
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 $1.07 Median $1.07 Typical High $1.58 | Professional | 55 · Aftercare only | $1.07 | $1.07 | $1.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.72 Typical High $1.07 | Professional | 56 · Pre-op care only | $0.72 | $0.72 | $1.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.12 Median $7.59 Typical High $7.59 | Professional | RR · Rental | $1.12 | $7.59 | $7.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $7.08 | Professional | UE · Used equipment | $5.37 | $5.37 | $7.08 |
Where Colorado sits
The same service costs 2.3 times more in Montana 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· 40th of 51
$8.51
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.