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 $35.48 Median $54.95 Typical High $91.20 | Facility | None | $35.48 | $54.95 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $77.62 | Professional | None | $31.62 | $48.98 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $131.83 | Professional | None | $54.95 | $81.28 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $190.55 | Facility | None | $128.82 | $151.36 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $107.15 | Professional | None | $54.95 | $74.13 | $107.15 |
Denver HMP Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $104.71 | Facility | None | $45.71 | $67.61 | $104.71 |
Denver HMP Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $131.83 | Professional | None | $50.12 | $83.18 | $131.83 |
Select Health Setting Facility Modifier None Typical Low $77.62 Median $83.18 Typical High $162.18 | Facility | None | $77.62 | $83.18 | $162.18 |
Select Health Setting Professional Modifier None Typical Low $38.90 Median $53.70 Typical High $77.62 | Professional | None | $38.90 | $53.70 | $77.62 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $109.65 | Professional | None | $52.48 | $74.13 | $109.65 |
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 $20.89 Median $27.54 Typical High $32.36 | Professional | 52 · Reduced service | $20.89 | $27.54 | $32.36 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $8.32 Typical High $9.77 | Professional | 55 · Aftercare only | $6.31 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $5.50 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.17 | $5.50 | $6.46 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $30.90 Median $43.65 Typical High $74.13 | Professional | HO · Master's level | $30.90 | $43.65 | $74.13 |
Where Colorado sits
The same service costs 2.2 times more in Alaska than in New Jersey. 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· 28th of 51
$64.57
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.