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 $14.79 Median $147.91 Typical High $346.74 | Facility | None | $14.79 | $147.91 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $20.42 Typical High $213.80 | Professional | None | $14.79 | $20.42 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $354.81 | Professional | None | $177.83 | $245.47 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $338.84 | Professional | None | $208.93 | $251.19 | $338.84 |
Denver HMP Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $323.59 | Facility | None | $158.49 | $245.47 | $323.59 |
Denver HMP Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Kaiser Permanente Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $398.11 | Professional | None | $208.93 | $275.42 | $398.11 |
Select Health Setting Facility Modifier None Typical Low $213.80 Median $363.08 Typical High $446.68 | Facility | None | $213.80 | $363.08 | $446.68 |
Select Health Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $288.40 | Professional | None | $147.91 | $213.80 | $288.40 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $363.08 | Professional | None | $194.98 | $251.19 | $363.08 |
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 $74.13 Median $87.10 Typical High $102.33 | Professional | 52 · Reduced service | $74.13 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $26.30 Typical High $30.20 | Professional | 55 · Aftercare only | $22.39 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.79 Median $17.38 Typical High $20.42 | Professional | 56 · Pre-op care only | $14.79 | $17.38 | $20.42 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | HO · Master's level | $134.90 | $162.18 | $204.17 |
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· 25th of 51
$209
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.