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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | None | $28.84 | $28.84 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $60.26 | Professional | None | $36.31 | $50.12 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Professional | None | $36.31 | $36.31 | $50.12 |
Denver HMP Setting Facility Modifier None Typical Low $25.12 Median $28.84 Typical High $67.61 | Facility | None | $25.12 | $28.84 | $67.61 |
Denver HMP Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $346.74 | Professional | None | $144.54 | $144.54 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
United Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $56.23 | Professional | None | $30.20 | $33.11 | $56.23 |
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 $14.45 Median $14.45 Typical High $17.38 | Professional | 52 · Reduced service | $14.45 | $14.45 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.92 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $5.25 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.47 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $5.01 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | UE · Used equipment | $37.15 | $37.15 | $37.15 |
Where Colorado sits
The same service costs 4.1 times more in Kansas 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
$33.11
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.