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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | None | $75.86 | $75.86 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $446.68 | Facility | None | $151.36 | $165.96 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $199.53 | Professional | None | $60.26 | $102.33 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $97.72 | Professional | None | $72.44 | $72.44 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $87.10 Typical High $186.21 | Facility | None | $43.65 | $87.10 | $186.21 |
Denver HMP Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $204.17 Typical High $309.03 | Professional | None | $117.49 | $204.17 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $288.40 Typical High $331.13 | Facility | None | $154.88 | $288.40 | $331.13 |
Select Health Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | None | $109.65 | $154.88 | $218.78 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $107.15 | Professional | None | $61.66 | $67.61 | $107.15 |
4 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 55 · Aftercare only Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | 55 · Aftercare only | $11.48 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.59 Typical High $8.13 | Professional | 56 · Pre-op care only | $7.59 | $7.59 | $8.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.23 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $10.23 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $75.86 | $75.86 | $75.86 |
Where Colorado sits
The same service costs 4.2 times more in Kansas 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· 47th of 51
$75.86
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.