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 $30.90 Median $30.90 Typical High $34.67 | Facility | None | $30.90 | $30.90 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $38.90 | Professional | None | $30.90 | $34.67 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $138.04 | Facility | None | $123.03 | $134.90 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $44.67 Typical High $64.57 | Professional | None | $24.55 | $44.67 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Denver HMP Setting Facility Modifier None Typical Low $34.67 Median $37.15 Typical High $97.72 | Facility | None | $34.67 | $37.15 | $97.72 |
Denver HMP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $123.03 | Professional | None | $53.70 | $83.18 | $123.03 |
Select Health Setting Facility Modifier None Typical Low $64.57 Median $117.49 Typical High $134.90 | Facility | None | $64.57 | $117.49 | $134.90 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $70.79 Typical High $95.50 | Professional | None | $64.57 | $70.79 | $95.50 |
United Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $74.13 | Professional | None | $27.54 | $30.20 | $74.13 |
5 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 $4.68 Median $4.68 Typical High $6.76 | Professional | 55 · Aftercare only | $4.68 | $4.68 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.09 Median $3.09 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.09 | $3.09 | $4.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $38.90 Typical High $77.62 | Professional | RR · Rental | $3.89 | $38.90 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | UE · Used equipment | $28.84 | $28.84 | $33.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Colorado sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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· 44th of 51
$34.67
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.