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 $64.57 Median $72.44 Typical High $173.78 | Facility | None | $64.57 | $72.44 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $158.49 | Professional | None | $64.57 | $97.72 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $218.78 | Professional | None | $117.49 | $162.18 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $223.87 | Professional | None | $125.89 | $162.18 | $223.87 |
Denver HMP Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $181.97 | Facility | None | $87.10 | $123.03 | $181.97 |
Kaiser Permanente Setting Professional Modifier None Typical Low $93.33 Median $123.03 Typical High $194.98 | Professional | None | $93.33 | $123.03 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $89.13 Median $162.18 Typical High $186.21 | Facility | None | $89.13 | $162.18 | $186.21 |
Select Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $89.13 | Professional | None | $61.66 | $61.66 | $89.13 |
United Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $263.03 | Professional | None | $123.03 | $162.18 | $263.03 |
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 $42.66 Median $42.66 Typical High $60.26 | Professional | 52 · Reduced service | $42.66 | $42.66 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | 55 · Aftercare only | $12.88 | $12.88 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $8.71 Typical High $12.02 | Professional | 56 · Pre-op care only | $8.71 | $8.71 | $12.02 |
Where Colorado sits
The same service costs 2.0 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· 19th of 51
$141
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.