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 $2.14 Median $2.14 Typical High $2.14 | Facility | None | $2.14 | $2.14 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $3.24 | Professional | None | $2.14 | $2.14 | $3.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.24 Typical High $6.61 | Professional | None | $2.14 | $3.24 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $3.02 Typical High $3.72 | Facility | None | $3.02 | $3.02 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.72 | Professional | None | $2.57 | $2.57 | $3.72 |
Denver HMP Setting Facility Modifier None Typical Low $1.38 Median $3.09 Typical High $6.31 | Facility | None | $1.38 | $3.09 | $6.31 |
Denver HMP Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.55 Median $6.46 Typical High $10.23 | Professional | None | $3.55 | $6.46 | $10.23 |
Select Health Setting Facility Modifier None Typical Low $5.13 Median $9.33 Typical High $10.72 | Facility | None | $5.13 | $9.33 | $10.72 |
Select Health Setting Professional Modifier None Typical Low $4.07 Median $5.13 Typical High $7.08 | Professional | None | $4.07 | $5.13 | $7.08 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $3.24 | Professional | None | $1.82 | $2.14 | $3.24 |
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 $0.32 Median $0.32 Typical High $0.49 | Professional | 55 · Aftercare only | $0.32 | $0.32 | $0.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.32 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.32 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $0.33 | $3.24 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | UE · Used equipment | $2.45 | $2.45 | $2.45 |
Where Colorado sits
The same service costs 2.2 times more in Kansas than in Delaware. 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· 49th of 51
$2.57
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.