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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $14.79 | Professional | None | $12.30 | $12.30 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $50.12 Typical High $54.95 | Professional | None | $15.49 | $50.12 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | None | $20.42 | $20.42 | $28.18 |
Denver HMP Setting Facility Modifier None Typical Low $10.72 Median $12.30 Typical High $28.84 | Facility | None | $10.72 | $12.30 | $28.84 |
Denver HMP Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $346.74 | Professional | None | $138.04 | $138.04 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | None | $40.74 | $40.74 | $47.86 |
United Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $23.99 | Professional | None | $12.88 | $14.13 | $23.99 |
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 $6.17 Median $6.17 Typical High $7.41 | Professional | 52 · Reduced service | $6.17 | $6.17 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $3.02 | Professional | 53 · Discontinued | $2.45 | $2.45 | $3.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.86 Median $1.86 Typical High $2.24 | Professional | 55 · Aftercare only | $1.86 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.23 Median $1.23 Typical High $1.51 | Professional | 56 · Pre-op care only | $1.23 | $1.23 | $1.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $5.50 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Where Colorado sits
The same service costs 8.7 times more in Hawaii than in Kansas. 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· 48th of 51
$14.13
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.