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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | None | $64.57 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $38.90 Typical High $38.90 | Professional | 52 · Reduced service | $33.11 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $13.18 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.75 Typical High $11.75 | Professional | 55 · Aftercare only | $9.77 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $6.61 | $7.76 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $102.33 Typical High $162.18 | Professional | None | $63.10 | $102.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $117.49 | Professional | None | $63.10 | $83.18 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $69.18 Median $77.62 Typical High $112.20 | Facility | None | $69.18 | $77.62 | $112.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $100.00 Typical High $169.82 | Professional | None | $77.62 | $100.00 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $162.18 | Facility | None | $77.62 | $77.62 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | None | $53.70 | $75.86 | $112.20 |
United Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $147.91 | Professional | None | $61.66 | $83.18 | $147.91 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $57.54 Median $64.57 Typical High $77.62 | Professional | HO · Master's level | $57.54 | $64.57 | $77.62 |
Where Colorado sits
The same service costs 3.2 times more in Alaska 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· 18th of 51
$77.62
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.