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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.76 | Professional | None | $5.37 | $5.37 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $14.13 | Professional | None | $4.47 | $6.03 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $7.59 | Facility | None | $4.90 | $7.59 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $8.51 | Professional | None | $6.31 | $6.31 | $8.51 |
Denver HMP Setting Facility Modifier None Typical Low $3.39 Median $7.59 Typical High $15.85 | Facility | None | $3.39 | $7.59 | $15.85 |
Denver HMP Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $25.70 | Professional | None | $9.33 | $16.60 | $25.70 |
Select Health Setting Facility Modifier None Typical Low $12.88 Median $23.44 Typical High $26.92 | Facility | None | $12.88 | $23.44 | $26.92 |
Select Health Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $17.78 | Professional | None | $8.91 | $12.88 | $17.78 |
United Setting Professional Modifier None Typical Low $4.47 Median $5.25 Typical High $7.94 | Professional | None | $4.47 | $5.25 | $7.94 |
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 $0.81 Median $0.81 Typical High $1.20 | Professional | 55 · Aftercare only | $0.81 | $0.81 | $1.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.54 Typical High $0.81 | Professional | 56 · Pre-op care only | $0.54 | $0.54 | $0.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.62 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $0.62 | $6.03 | $6.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | UE · Used equipment | $4.57 | $4.57 | $4.57 |
Where Colorado sits
The same service costs 5.0 times more in Hawaii than in Rhode Island. 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
$6.31
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.