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 $46.77 Median $46.77 Typical High $109.65 | Facility | None | $46.77 | $46.77 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $109.65 | Professional | None | $42.66 | $67.61 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.88 Median $33.88 Typical High $54.95 | Professional | 52 · Reduced service | $21.88 | $33.88 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $13.49 Typical High $21.88 | Professional | 53 · Discontinued | $8.71 | $13.49 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $10.23 Typical High $16.22 | Professional | 55 · Aftercare only | $6.46 | $10.23 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $6.76 Typical High $10.96 | Professional | 56 · Pre-op care only | $4.37 | $6.76 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $114.82 Typical High $234.42 | Professional | None | $48.98 | $114.82 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $102.33 | Professional | None | $39.81 | $77.62 | $102.33 |
Denver HMP Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $154.88 | Facility | None | $46.77 | $95.50 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $109.65 Typical High $144.54 | Professional | None | $43.65 | $109.65 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $208.93 | Facility | None | $72.44 | $100.00 | $208.93 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $48.98 | Professional | None | $41.69 | $45.71 | $48.98 |
United Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $691.83 | Facility | None | $575.44 | $616.60 | $691.83 |
United Setting Professional Modifier None Typical Low $34.67 Median $57.54 Typical High $117.49 | Professional | None | $34.67 | $57.54 | $117.49 |
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 2.5 times more in Alaska than in Washington, DC. 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· 32nd of 51
$69.18
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.