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 $24.55 | Facility | None | $22.91 | $22.91 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | None | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $12.30 Typical High $12.30 | Professional | 52 · Reduced service | $11.48 | $12.30 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.90 Typical High $4.90 | Professional | 53 · Discontinued | $4.57 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $3.72 Typical High $3.72 | Professional | 55 · Aftercare only | $3.47 | $3.72 | $3.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.45 Typical High $2.45 | Professional | 56 · Pre-op care only | $2.29 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $66.07 Typical High $77.62 | Professional | None | $23.99 | $66.07 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $46.77 | Professional | None | $20.89 | $29.51 | $46.77 |
Denver HMP Setting Facility Modifier None Typical Low $22.39 Median $24.55 Typical High $33.11 | Facility | None | $22.39 | $24.55 | $33.11 |
Denver HMP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $48.98 | Professional | None | $20.89 | $29.51 | $48.98 |
Select Health Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $56.23 | Facility | None | $19.50 | $41.69 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $30.20 | Professional | None | $18.62 | $23.44 | $30.20 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $53.70 | Professional | None | $23.99 | $33.11 | $53.70 |
2 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HN · Bachelor's level Typical Low $15.85 Median $19.95 Typical High $26.30 | Professional | HN · Bachelor's level | $15.85 | $19.95 | $26.30 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $15.85 Median $20.42 Typical High $26.30 | Professional | HO · Master's level | $15.85 | $20.42 | $26.30 |
Where Colorado sits
The same service costs 2.8 times more in New York than in Georgia. 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· 34th of 51
$24.55
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.