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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $36.31 | Professional | None | $21.88 | $23.44 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $117.49 | Facility | None | $107.15 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $70.79 | Professional | None | $26.30 | $30.90 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $43.65 | Professional | None | $25.70 | $25.70 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $23.44 Median $35.48 Typical High $69.18 | Facility | None | $23.44 | $35.48 | $69.18 |
Denver HMP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $72.44 Typical High $114.82 | Professional | None | $41.69 | $72.44 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $114.82 | Facility | None | $54.95 | $102.33 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $77.62 | Professional | None | $43.65 | $54.95 | $77.62 |
United Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $38.90 | Professional | None | $21.38 | $24.55 | $38.90 |
6 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 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $17.78 | Professional | 52 · Reduced service | $11.75 | $11.75 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $7.08 | Professional | 53 · Discontinued | $4.68 | $4.68 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.47 Typical High $5.37 | Professional | 55 · Aftercare only | $3.47 | $3.47 | $5.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $2.34 Typical High $3.55 | Professional | 56 · Pre-op care only | $2.34 | $2.34 | $3.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $3.09 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Where Colorado sits
The same service costs 2.2 times more in Hawaii than in Utah. 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· 50th of 51
$25.70
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.