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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $40.74 | Professional | None | $38.90 | $38.90 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $83.18 Typical High $223.87 | Facility | None | $75.86 | $83.18 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $100.00 | Professional | None | $30.20 | $42.66 | $100.00 |
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 $37.15 Median $37.15 Typical High $43.65 | Professional | None | $37.15 | $37.15 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $21.88 Median $43.65 Typical High $93.33 | Facility | None | $21.88 | $43.65 | $93.33 |
Denver HMP Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $162.18 | Professional | None | $58.88 | $102.33 | $162.18 |
Select Health Setting Facility Modifier None Typical Low $79.43 Median $144.54 Typical High $165.96 | Facility | None | $79.43 | $144.54 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $109.65 | Professional | None | $54.95 | $79.43 | $109.65 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | None | $30.90 | $33.88 | $52.48 |
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 $5.75 Median $5.75 Typical High $6.17 | Professional | 55 · Aftercare only | $5.75 | $5.75 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $3.89 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.89 | $3.89 | $4.07 |
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 2.2 times more in Montana than in West Virginia. 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· 45th of 51
$38.90
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.