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 $81.28 Median $112.20 Typical High $177.83 | Facility | None | $81.28 | $112.20 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $128.82 | Professional | None | $81.28 | $100.00 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $223.87 | Professional | None | $97.72 | $141.25 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $173.78 | Professional | None | $81.28 | $114.82 | $173.78 |
Denver HMP Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $181.97 | Facility | None | $81.28 | $114.82 | $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 $89.13 Median $134.90 Typical High $208.93 | Professional | None | $89.13 | $134.90 | $208.93 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $257.04 | Facility | None | $123.03 | $147.91 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $125.89 | Professional | None | $69.18 | $95.50 | $125.89 |
United Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $177.83 | Professional | None | $85.11 | $120.23 | $177.83 |
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 $40.74 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $40.74 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $13.49 Typical High $16.98 | Professional | 55 · Aftercare only | $12.02 | $13.49 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.91 Typical High $11.22 | Professional | 56 · Pre-op care only | $8.13 | $8.91 | $11.22 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $54.95 Median $77.62 Typical High $117.49 | Professional | HO · Master's level | $54.95 | $77.62 | $117.49 |
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
$120
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.