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 $112.20 Median $147.91 Typical High $229.09 | Facility | None | $112.20 | $147.91 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $173.78 | Professional | None | $109.65 | $134.90 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $186.21 Typical High $295.12 | Professional | None | $131.83 | $186.21 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | None | $112.20 | $154.88 | $234.42 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $239.88 | Facility | None | $112.20 | $158.49 | $239.88 |
Denver HMP Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $269.15 | Professional | None | $120.23 | $181.97 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $338.84 | Facility | None | $158.49 | $199.53 | $338.84 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $173.78 | Professional | None | $93.33 | $131.83 | $173.78 |
United Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $234.42 | Professional | None | $117.49 | $158.49 | $234.42 |
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 $54.95 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $54.95 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $17.78 Typical High $22.39 | Professional | 55 · Aftercare only | $16.60 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.75 Typical High $14.79 | Professional | 56 · Pre-op care only | $10.96 | $11.75 | $14.79 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $107.15 Typical High $151.36 | Professional | HO · Master's level | $75.86 | $107.15 | $151.36 |
Where Colorado sits
The same service costs 2.7 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
$162
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.