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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $54.95 Typical High $54.95 | Professional | None | $28.18 | $54.95 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $25.12 Typical High $26.92 | Professional | None | $8.71 | $25.12 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | None | $10.72 | $10.72 | $12.59 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $54.95 Typical High $79.43 | Facility | None | $30.20 | $54.95 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $346.74 | Professional | None | $154.88 | $154.88 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $21.88 | Professional | None | $13.18 | $13.18 | $21.88 |
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 $4.27 Median $8.32 Typical High $8.32 | Professional | 55 · Aftercare only | $4.27 | $8.32 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $5.50 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.82 | $5.50 | $5.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $25.12 Typical High $25.12 | Professional | RR · Rental | $2.51 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | UE · Used equipment | $18.62 | $18.62 | $18.62 |
Where Colorado sits
The same service costs 3.5 times more in North Dakota than in Oklahoma. 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· 44th of 51
$13.18
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.