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 $22.91 Median $22.91 Typical High $38.02 | Facility | None | $22.91 | $22.91 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $38.90 | Professional | None | $22.91 | $31.62 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $45.71 Typical High $74.13 | Professional | None | $28.18 | $45.71 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $58.88 | Professional | None | $27.54 | $39.81 | $58.88 |
Denver HMP Setting Facility Modifier None Typical Low $22.91 Median $38.02 Typical High $61.66 | Facility | None | $22.91 | $38.02 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $40.74 Typical High $67.61 | Professional | None | $25.12 | $40.74 | $67.61 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $41.69 Typical High $87.10 | Facility | None | $40.74 | $41.69 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $40.74 | Professional | None | $19.50 | $26.92 | $40.74 |
United Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $58.88 | Professional | None | $25.70 | $38.90 | $58.88 |
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 $11.48 Median $14.13 Typical High $19.05 | Professional | 52 · Reduced service | $11.48 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.47 Median $4.27 Typical High $5.75 | Professional | 55 · Aftercare only | $3.47 | $4.27 | $5.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.29 Median $2.82 Typical High $3.80 | Professional | 56 · Pre-op care only | $2.29 | $2.82 | $3.80 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $15.85 Median $22.39 Typical High $38.90 | Professional | HO · Master's level | $15.85 | $22.39 | $38.90 |
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· 19th of 51
$38.90
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.