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 $17.78 Median $17.78 Typical High $31.62 | Facility | None | $17.78 | $17.78 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $31.62 Typical High $38.02 | Professional | None | $17.78 | $31.62 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $3,311.31 Typical High $5,370.32 | Facility | None | $2,137.96 | $3,311.31 | $5,370.32 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $50.12 | Professional | None | $21.38 | $30.20 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $36.31 Typical High $91.20 | Facility | None | $23.44 | $36.31 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $43.65 Typical High $63.10 | Professional | None | $22.91 | $43.65 | $63.10 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $38.90 Typical High $72.44 | Facility | None | $17.78 | $38.90 | $72.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $32.36 Typical High $54.95 | Professional | None | $18.62 | $32.36 | $54.95 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $30.90 Typical High $69.18 | Facility | None | $28.84 | $30.90 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $17.38 Median $20.42 Typical High $32.36 | Professional | None | $17.38 | $20.42 | $32.36 |
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 $23.44 Median $42.66 Typical High $66.07 | Professional | None | $23.44 | $42.66 | $66.07 |
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 52 · Reduced service Typical Low $8.71 Median $15.49 Typical High $15.85 | Professional | 52 · Reduced service | $8.71 | $15.49 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $6.17 Typical High $6.31 | Professional | 53 · Discontinued | $3.55 | $6.17 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.63 Median $4.57 Typical High $4.79 | Professional | 55 · Aftercare only | $2.63 | $4.57 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $3.09 Typical High $3.16 | Professional | 56 · Pre-op care only | $1.78 | $3.09 | $3.16 |
Where Colorado sits
The same service costs 3.5 times more in Alaska than in 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· 27th of 51
$37.15
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.