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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | None | $16.98 | $16.98 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $67.61 Typical High $67.61 | Professional | None | $25.12 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | None | $39.81 | $39.81 | $54.95 |
Denver HMP Setting Facility Modifier None Typical Low $15.14 Median $16.98 Typical High $39.81 | Facility | None | $15.14 | $16.98 | $39.81 |
Denver HMP Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $346.74 | Professional | None | $112.20 | $112.20 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.50 Typical High $33.88 | Professional | None | $17.78 | $19.50 | $33.88 |
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 $8.51 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $8.51 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $4.17 | Professional | 53 · Discontinued | $3.47 | $3.47 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.57 Median $2.57 Typical High $3.09 | Professional | 55 · Aftercare only | $2.57 | $2.57 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.74 Median $1.74 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.74 | $1.74 | $2.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $67.61 Typical High $67.61 | Professional | RR · Rental | $6.76 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
Where Colorado sits
The same service costs 8.9 times more in North Dakota 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
$19.50
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.