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 $45.71 Median $45.71 Typical High $117.49 | Facility | None | $45.71 | $45.71 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $52.48 | Professional | None | $43.65 | $45.71 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $239.88 | Facility | None | $79.43 | $87.10 | $239.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $112.20 | Professional | None | $28.18 | $43.65 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None | $33.88 | $33.88 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $104.71 | Facility | None | $23.44 | $45.71 | $104.71 |
Denver HMP Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $61.66 Median $107.15 Typical High $165.96 | Professional | None | $61.66 | $107.15 | $165.96 |
Select Health Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $173.78 | Facility | None | $83.18 | $154.88 | $173.78 |
Select Health Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $104.71 | Professional | None | $58.88 | $83.18 | $104.71 |
United Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $36.31 | Facility | None | $19.05 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $53.70 | Professional | None | $32.36 | $36.31 | $53.70 |
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 $22.91 Median $22.91 Typical High $26.30 | Professional | 52 · Reduced service | $22.91 | $22.91 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $10.47 | Professional | 53 · Discontinued | $9.12 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.92 Typical High $7.94 | Professional | 55 · Aftercare only | $6.76 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 56 · Pre-op care only | $4.57 | $4.57 | $4.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $4.27 | $43.65 | $43.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
Where Colorado sits
The same service costs 2.9 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· 31st of 51
$45.71
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.