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 $7.24 Median $72.44 Typical High $104.71 | Facility | None | $7.24 | $72.44 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $12.30 Typical High $120.23 | Professional | None | $6.46 | $12.30 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $173.78 | Professional | None | $87.10 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $131.83 Typical High $181.97 | Professional | None | $104.71 | $131.83 | $181.97 |
Denver HMP Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $177.83 | Facility | None | $85.11 | $125.89 | $177.83 |
Denver HMP Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $204.17 | Professional | None | $107.15 | $141.25 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $245.47 | Facility | None | $114.82 | $177.83 | $245.47 |
Select Health Setting Professional Modifier None Typical Low $72.44 Median $114.82 Typical High $141.25 | Professional | None | $72.44 | $114.82 | $141.25 |
United Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $190.55 | Professional | None | $102.33 | $131.83 | $190.55 |
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 $36.31 Median $47.86 Typical High $54.95 | Professional | 52 · Reduced service | $36.31 | $47.86 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.13 Typical High $16.22 | Professional | 55 · Aftercare only | $10.96 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $9.55 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.24 | $9.55 | $10.96 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $66.07 Median $87.10 Typical High $109.65 | Professional | HO · Master's level | $66.07 | $87.10 | $109.65 |
Where Colorado sits
The same service costs 2.5 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· 29th of 51
$107
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.