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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | None | $15.14 | $15.14 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $38.90 Typical High $38.90 | Professional | None | $18.62 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | None | $19.95 | $19.95 | $27.54 |
Denver HMP Setting Facility Modifier None Typical Low $13.18 Median $15.14 Typical High $35.48 | Facility | None | $13.18 | $15.14 | $35.48 |
Denver HMP Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $346.74 | Professional | None | $56.23 | $56.23 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | None | $48.98 | $48.98 | $57.54 |
United Setting Professional Modifier None Typical Low $15.85 Median $17.38 Typical High $29.51 | Professional | None | $15.85 | $17.38 | $29.51 |
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 $7.59 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $7.59 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.72 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $2.29 Typical High $2.75 | Professional | 55 · Aftercare only | $2.29 | $2.29 | $2.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $1.51 Typical High $1.82 | Professional | 56 · Pre-op care only | $1.51 | $1.51 | $1.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $3.89 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Where Colorado sits
The same service costs 4.4 times more in Wyoming than in Colorado. 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· 51st of 51
$17.38
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.