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 $75.86 Median $114.82 Typical High $177.83 | Facility | None | $75.86 | $114.82 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $123.03 | Professional | None | $75.86 | $100.00 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $93.33 Median $138.04 Typical High $218.78 | Professional | None | $93.33 | $138.04 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $173.78 | Professional | None | $81.28 | $117.49 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $181.97 | Facility | None | $75.86 | $117.49 | $181.97 |
Denver HMP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $83.18 Median $134.90 Typical High $204.17 | Professional | None | $83.18 | $134.90 | $204.17 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $257.04 | Facility | None | $123.03 | $138.04 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $123.03 | Professional | None | $64.57 | $89.13 | $123.03 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $173.78 | Professional | None | $83.18 | $120.23 | $173.78 |
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 $38.02 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.18 Typical High $16.98 | Professional | 55 · Aftercare only | $11.48 | $13.18 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $8.91 Typical High $11.48 | Professional | 56 · Pre-op care only | $7.59 | $8.91 | $11.48 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $72.44 Typical High $117.49 | Professional | HO · Master's level | $51.29 | $72.44 | $117.49 |
Where Colorado sits
The same service costs 2.8 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
$117
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.