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 $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $1.32 Median $2.04 Typical High $2.95 | Professional | None | $1.32 | $2.04 | $2.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $3.02 Typical High $6.31 | Professional | None | $2.00 | $3.02 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.69 Median $2.82 Typical High $2.82 | Facility | None | $2.69 | $2.82 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.39 | Professional | None | $2.40 | $2.40 | $3.39 |
Denver HMP Setting Facility Modifier None Typical Low $1.29 Median $2.95 Typical High $6.03 | Facility | None | $1.29 | $2.95 | $6.03 |
Denver HMP Setting Professional Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Professional | None | $1.29 | $1.29 | $1.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $9.55 | Professional | None | $3.39 | $6.17 | $9.55 |
Select Health Setting Facility Modifier None Typical Low $4.79 Median $8.91 Typical High $10.23 | Facility | None | $4.79 | $8.91 | $10.23 |
Select Health Setting Professional Modifier None Typical Low $3.89 Median $4.79 Typical High $6.76 | Professional | None | $3.89 | $4.79 | $6.76 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.00 Typical High $3.02 | Professional | None | $1.70 | $2.00 | $3.02 |
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 $1.02 Median $1.02 Typical High $1.55 | Professional | 52 · Reduced service | $1.02 | $1.02 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.41 Typical High $0.62 | Professional | 53 · Discontinued | $0.41 | $0.41 | $0.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.31 Typical High $0.46 | Professional | 55 · Aftercare only | $0.31 | $0.31 | $0.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.20 Typical High $0.31 | Professional | 56 · Pre-op care only | $0.20 | $0.20 | $0.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.30 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $0.30 | $3.02 | $3.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | UE · Used equipment | $2.24 | $2.24 | $2.24 |
Where Colorado sits
The same service costs 2.2 times more in Kansas than in New Jersey. 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
$2.40
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.