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 $22.91 Median $22.91 Typical High $52.48 | Facility | None | $22.91 | $22.91 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $48.98 Typical High $63.10 | Professional | None | $22.91 | $48.98 | $63.10 |
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 $33.11 Median $67.61 Typical High $123.03 | Professional | None | $33.11 | $67.61 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $1,698.24 | Facility | None | $50.12 | $66.07 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $53.70 Typical High $97.72 | Professional | None | $33.11 | $53.70 | $97.72 |
Denver HMP Setting Facility Modifier None Typical Low $22.91 Median $52.48 Typical High $75.86 | Facility | None | $22.91 | $52.48 | $75.86 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $48.98 Typical High $95.50 | Professional | None | $24.55 | $48.98 | $95.50 |
Select Health Setting Facility Modifier None Typical Low $44.67 Median $54.95 Typical High $114.82 | Facility | None | $44.67 | $54.95 | $114.82 |
Select Health Setting Professional Modifier None Typical Low $15.49 Median $43.65 Typical High $107.15 | Professional | None | $15.49 | $43.65 | $107.15 |
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 $33.88 Median $60.26 Typical High $107.15 | Professional | None | $33.88 | $60.26 | $107.15 |
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 $11.48 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $11.48 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $9.55 Typical High $10.96 | Professional | 53 · Discontinued | $4.68 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $7.08 Typical High $8.13 | Professional | 55 · Aftercare only | $3.47 | $7.08 | $8.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $4.79 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.29 | $4.79 | $5.50 |
Where Colorado sits
The same service costs 3.5 times more in Wisconsin than in Utah. 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· 8th of 51
$72.44
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.