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 $3.16 Median $3,235.94 Typical High $7,762.47 | Facility | None | $3.16 | $3,235.94 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $5.89 Typical High $10.47 | Professional | None | $2.04 | $5.89 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $7.24 Typical High $14.13 | Professional | None | $2.40 | $7.24 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,511.89 Typical High $2,691.53 | Facility | None | $50.12 | $2,511.89 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $6.46 Typical High $10.23 | Professional | None | $2.45 | $6.46 | $10.23 |
Denver HMP Setting Facility Modifier None Typical Low $2.04 Median $6.61 Typical High $10.47 | Facility | None | $2.04 | $6.61 | $10.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.04 Median $4.37 Typical High $11.48 | Professional | None | $2.04 | $4.37 | $11.48 |
Select Health Setting Facility Modifier None Typical Low $3.39 Median $6.61 Typical High $14.13 | Facility | None | $3.39 | $6.61 | $14.13 |
Select Health Setting Professional Modifier None Typical Low $1.20 Median $2.14 Typical High $6.61 | Professional | None | $1.20 | $2.14 | $6.61 |
United Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,905.46 | Facility | None | $239.88 | $616.60 | $1,905.46 |
United Setting Professional Modifier None Typical Low $2.34 Median $6.17 Typical High $10.47 | Professional | None | $2.34 | $6.17 | $10.47 |
5 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 $1.02 Median $2.45 Typical High $3.47 | Professional | 52 · Reduced service | $1.02 | $2.45 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.41 Median $0.98 Typical High $1.38 | Professional | 53 · Discontinued | $0.41 | $0.98 | $1.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.51 Median $3.63 Typical High $5.25 | Professional | 54 · Surgery only | $1.51 | $3.63 | $5.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.31 Median $0.72 Typical High $1.05 | Professional | 55 · Aftercare only | $0.31 | $0.72 | $1.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.49 Typical High $0.71 | Professional | 56 · Pre-op care only | $0.20 | $0.49 | $0.71 |
Where Colorado sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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· 22nd of 51
$6.92
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.