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 $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | None | $14.79 | $14.79 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $33.88 Typical High $87.10 | Facility | None | $28.84 | $33.88 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $43.65 | Professional | None | $11.22 | $19.95 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $18.62 | Professional | None | $13.49 | $13.49 | $18.62 |
Denver HMP Setting Facility Modifier None Typical Low $8.51 Median $16.98 Typical High $36.31 | Facility | None | $8.51 | $16.98 | $36.31 |
Denver HMP Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $60.26 | Professional | None | $22.39 | $38.90 | $60.26 |
Select Health Setting Facility Modifier None Typical Low $30.20 Median $56.23 Typical High $63.10 | Facility | None | $30.20 | $56.23 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $38.02 | Professional | None | $20.89 | $30.20 | $38.02 |
United Setting Facility Modifier None Typical Low $14.45 Median $16.60 Typical High $16.60 | Facility | None | $14.45 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $20.42 | Professional | None | $12.02 | $13.18 | $20.42 |
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 $7.41 Median $7.41 Typical High $8.13 | Professional | 52 · Reduced service | $7.41 | $7.41 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.24 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $2.45 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $2.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.48 Median $1.48 Typical High $1.62 | Professional | 56 · Pre-op care only | $1.48 | $1.48 | $1.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.00 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $2.00 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | UE · Used equipment | $14.79 | $14.79 | $14.79 |
Where Colorado sits
The same service costs 2.8 times more in Hawaii than in Pennsylvania. 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· 46th of 51
$14.79
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.