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 $7.08 Median $7.08 Typical High $10.47 | Facility | None | $7.08 | $7.08 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.08 Typical High $12.59 | Professional | None | $6.92 | $7.08 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $18.62 | Professional | None | $11.48 | $14.45 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Facility | None | $20.89 | $20.89 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Professional | None | $15.49 | $15.49 | $20.89 |
Denver HMP Setting Facility Modifier None Typical Low $6.17 Median $7.08 Typical High $16.60 | Facility | None | $6.17 | $7.08 | $16.60 |
Denver HMP Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | None | $6.17 | $6.17 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $346.74 | Professional | None | $69.18 | $69.18 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
United Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $13.80 | Professional | None | $7.24 | $7.94 | $13.80 |
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 $3.55 Median $3.55 Typical High $4.27 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.70 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.07 Typical High $1.29 | Professional | 55 · Aftercare only | $1.07 | $1.07 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.71 Median $0.71 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.71 | $0.71 | $0.85 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.41 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $1.41 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | UE · Used equipment | $10.72 | $10.72 | $10.72 |
Where Colorado sits
The same service costs 6.2 times more in Wyoming than in North Carolina. 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
$8.71
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.