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 $1.23 Median $1.23 Typical High $1.23 | Facility | None | $1.23 | $1.23 | $1.23 |
Aetna Setting Professional Modifier None Typical Low $0.85 Median $1.23 Typical High $1.78 | Professional | None | $0.85 | $1.23 | $1.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.23 Median $1.82 Typical High $3.80 | Professional | None | $1.23 | $1.82 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $2.14 | Facility | None | $1.74 | $1.74 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.48 Typical High $2.14 | Professional | None | $1.48 | $1.48 | $2.14 |
Denver HMP Setting Facility Modifier None Typical Low $0.79 Median $1.78 Typical High $3.72 | Facility | None | $0.79 | $1.78 | $3.72 |
Denver HMP Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | None | $0.79 | $0.79 | $0.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.04 Median $3.80 Typical High $5.89 | Professional | None | $2.04 | $3.80 | $5.89 |
Select Health Setting Facility Modifier None Typical Low $2.95 Median $5.50 Typical High $6.17 | Facility | None | $2.95 | $5.50 | $6.17 |
Select Health Setting Professional Modifier None Typical Low $2.34 Median $2.95 Typical High $4.07 | Professional | None | $2.34 | $2.95 | $4.07 |
United Setting Professional Modifier None Typical Low $1.05 Median $1.23 Typical High $1.82 | Professional | None | $1.05 | $1.23 | $1.82 |
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 $0.62 Median $0.62 Typical High $0.93 | Professional | 52 · Reduced service | $0.62 | $0.62 | $0.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.25 Median $0.25 Typical High $0.37 | Professional | 53 · Discontinued | $0.25 | $0.25 | $0.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.19 Median $0.19 Typical High $0.28 | Professional | 55 · Aftercare only | $0.19 | $0.19 | $0.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.12 Median $0.12 Typical High $0.19 | Professional | 56 · Pre-op care only | $0.12 | $0.12 | $0.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.18 Median $1.82 Typical High $1.82 | Professional | RR · Rental | $0.18 | $1.82 | $1.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | UE · Used equipment | $1.38 | $1.38 | $1.38 |
Where Colorado sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 47th of 51
$1.48
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.