How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $54.95 Median $54.95 Typical High $112.20 | Facility | None | $54.95 | $54.95 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $74.13 Typical High $112.20 | Professional | None | $51.29 | $74.13 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $37.15 Typical High $56.23 | Professional | 52 · Reduced service | $25.70 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $14.79 Typical High $22.91 | Professional | 53 · Discontinued | $10.23 | $14.79 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $10.96 Typical High $16.98 | Professional | 55 · Aftercare only | $7.59 | $10.96 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $7.41 Typical High $11.22 | Professional | 56 · Pre-op care only | $5.13 | $7.41 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $245.47 | Professional | None | $60.26 | $123.03 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $83.18 Typical High $107.15 | Professional | None | $47.86 | $83.18 | $107.15 |
Denver HMP Setting Facility Modifier None Typical Low $54.95 Median $102.33 Typical High $162.18 | Facility | None | $54.95 | $102.33 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $114.82 Typical High $151.36 | Professional | None | $51.29 | $114.82 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $218.78 | Facility | None | $85.11 | $102.33 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $57.54 | Professional | None | $41.69 | $53.70 | $57.54 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,344.23 | Facility | None | $1,949.84 | $2,041.74 | $2,344.23 |
United Setting Professional Modifier None Typical Low $39.81 Median $67.61 Typical High $123.03 | Professional | None | $39.81 | $67.61 | $123.03 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier XC Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | XC | $501.19 | $501.19 | $501.19 |
Where Colorado sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 24th of 51
$79.43
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.