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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $85.11 Typical High $229.09 | Facility | None | $77.62 | $85.11 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $104.71 | Professional | None | $30.90 | $42.66 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | None | $31.62 | $31.62 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $22.39 Median $44.67 Typical High $95.50 | Facility | None | $22.39 | $44.67 | $95.50 |
Denver HMP Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $162.18 | Professional | None | $60.26 | $104.71 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $169.82 | Facility | None | $81.28 | $147.91 | $169.82 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $112.20 | Professional | None | $56.23 | $81.28 | $112.20 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $52.48 | Professional | None | $31.62 | $34.67 | $52.48 |
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 $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.51 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $6.61 Typical High $6.61 | Professional | 55 · Aftercare only | $6.46 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.47 Typical High $4.47 | Professional | 56 · Pre-op care only | $4.27 | $4.47 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $4.27 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
Where Colorado sits
The same service costs 2.6 times more in Montana than in Delaware. 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· 24th of 51
$44.67
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.