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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $13.18 | Professional | None | $11.48 | $11.48 | $13.18 |
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 $13.49 Median $19.05 Typical High $28.18 | Professional | None | $13.49 | $19.05 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,148.15 Typical High $1,659.59 | Facility | None | $416.87 | $1,148.15 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $24.55 | Professional | None | $14.45 | $17.78 | $24.55 |
Denver HMP Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $25.70 | Facility | None | $11.48 | $16.22 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $21.88 | Professional | None | $10.23 | $14.79 | $21.88 |
Select Health Setting Facility Modifier None Typical Low $10.23 Median $20.89 Typical High $407.38 | Facility | None | $10.23 | $20.89 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $19.95 | Professional | None | $7.24 | $10.23 | $19.95 |
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 $14.13 Median $18.20 Typical High $27.54 | Professional | None | $14.13 | $18.20 | $27.54 |
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 $5.75 Median $5.75 Typical High $6.61 | Professional | 52 · Reduced service | $5.75 | $5.75 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.63 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.70 Median $1.70 Typical High $1.95 | Professional | 55 · Aftercare only | $1.70 | $1.70 | $1.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.12 Median $1.12 Typical High $1.32 | Professional | 56 · Pre-op care only | $1.12 | $1.12 | $1.32 |
Where Colorado sits
The same service costs 12.3 times more in Florida than in Kentucky. 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· 15th of 51
$22.91
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.