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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | None | $16.22 | $16.22 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.88 Median $23.99 Typical High $30.20 | Professional | None | $21.88 | $23.99 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.84 | Professional | None | $20.89 | $20.89 | $28.84 |
Denver HMP Setting Facility Modifier None Typical Low $14.13 Median $16.22 Typical High $38.02 | Facility | None | $14.13 | $16.22 | $38.02 |
Denver HMP Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $346.74 | Professional | None | $66.07 | $66.07 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None | $52.48 | $52.48 | $61.66 |
United Setting Professional Modifier None Typical Low $16.60 Median $18.62 Typical High $31.62 | Professional | None | $16.60 | $18.62 | $31.62 |
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 $8.13 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.45 Median $2.45 Typical High $2.95 | Professional | 55 · Aftercare only | $2.45 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $1.62 Typical High $1.95 | Professional | 56 · Pre-op care only | $1.62 | $1.62 | $1.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.40 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $2.40 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $17.78 | $17.78 | $17.78 |
Where Colorado sits
The same service costs 4.1 times more in Wyoming than in Utah. 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· 50th of 51
$18.62
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.