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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | None | $16.60 | $16.60 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $87.10 | Facility | None | $29.51 | $32.36 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $44.67 | Professional | None | $12.59 | $18.62 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Facility | None | $22.39 | $22.39 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $31.62 | Professional | None | $16.22 | $16.22 | $31.62 |
Denver HMP Setting Facility Modifier None Typical Low $9.55 Median $16.60 Typical High $38.02 | Facility | None | $9.55 | $16.60 | $38.02 |
Denver HMP Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $61.66 | Professional | None | $22.91 | $39.81 | $61.66 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $64.57 | Facility | None | $30.20 | $56.23 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $30.20 Typical High $42.66 | Professional | None | $26.30 | $30.20 | $42.66 |
United Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $28.18 | Facility | None | $19.95 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $22.39 | Professional | None | $13.49 | $14.79 | $22.39 |
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 $8.32 Median $8.32 Typical High $9.12 | Professional | 52 · Reduced service | $8.32 | $8.32 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.63 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $2.51 Typical High $2.69 | Professional | 55 · Aftercare only | $2.51 | $2.51 | $2.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $1.66 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.66 | $1.66 | $1.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.82 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $1.82 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | UE · Used equipment | $13.49 | $13.49 | $13.49 |
Where Colorado sits
The same service costs 3.7 times more in Hawaii than in Florida. 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· 45th of 51
$16.60
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.