How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $134.90 | Professional | None | $120.23 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.99 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $20.42 Typical High $20.42 | Professional | 55 · Aftercare only | $18.20 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $13.49 Typical High $13.49 | Professional | 56 · Pre-op care only | $12.02 | $13.49 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $269.15 | Professional | None | $123.03 | $169.82 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | None | $112.20 | $112.20 | $190.55 |
Denver HMP Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $194.98 | Facility | None | $112.20 | $134.90 | $194.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $123.03 Median $158.49 Typical High $251.19 | Professional | None | $123.03 | $158.49 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $257.04 | Facility | None | $123.03 | $123.03 | $257.04 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $123.03 Typical High $177.83 | Professional | None | $100.00 | $123.03 | $177.83 |
United Setting Professional Modifier None Typical Low $138.04 Median $181.97 Typical High $281.84 | Professional | None | $138.04 | $181.97 | $281.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $91.20 Median $104.71 Typical High $123.03 | Professional | HO · Master's level | $91.20 | $104.71 | $123.03 |
Where Colorado sits
The same service costs 2.2 times more in Alaska than in Arizona. 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· 18th of 51
$135
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.