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 $52.48 Median $61.66 Typical High $81.28 | Facility | None | $52.48 | $61.66 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $112.20 | Professional | None | $52.48 | $70.79 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $162.18 | Professional | None | $81.28 | $125.89 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $141.25 | Professional | None | $74.13 | $91.20 | $141.25 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $102.33 | Facility | None | $70.79 | $89.13 | $102.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $154.88 | Professional | None | $74.13 | $100.00 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $147.91 | Facility | None | $70.79 | $131.83 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
United Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $151.36 | Professional | None | $69.18 | $93.33 | $151.36 |
3 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 $30.90 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $30.90 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $10.47 Typical High $10.72 | Professional | 55 · Aftercare only | $9.33 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.08 Typical High $7.24 | Professional | 56 · Pre-op care only | $6.17 | $7.08 | $7.24 |
Where Colorado sits
The same service costs 2.4 times more in Alaska than in Alabama. 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· 16th of 51
$93.33
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.