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 $70.79 Median $109.65 Typical High $169.82 | Facility | None | $70.79 | $109.65 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $117.49 | Professional | None | $70.79 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $208.93 | Professional | None | $87.10 | $131.83 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $107.15 Typical High $165.96 | Professional | None | $70.79 | $107.15 | $165.96 |
Denver HMP Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $173.78 | Facility | None | $70.79 | $109.65 | $173.78 |
Denver HMP Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $194.98 | Professional | None | $77.62 | $125.89 | $194.98 |
Select Health Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $245.47 | Facility | None | $117.49 | $128.82 | $245.47 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $117.49 | Professional | None | $60.26 | $83.18 | $117.49 |
United Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $165.96 | Professional | None | $75.86 | $112.20 | $165.96 |
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 $35.48 Median $41.69 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $12.59 Typical High $16.22 | Professional | 55 · Aftercare only | $10.72 | $12.59 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $8.51 Typical High $10.96 | Professional | 56 · Pre-op care only | $7.08 | $8.51 | $10.96 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $67.61 Typical High $112.20 | Professional | HO · Master's level | $47.86 | $67.61 | $112.20 |
Where Colorado sits
The same service costs 2.9 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· 20th of 51
$112
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.