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 $9.77 Median $9.77 Typical High $26.92 | Facility | None | $9.77 | $9.77 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $26.92 | Professional | None | $8.71 | $12.02 | $26.92 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.32 Median $1.78 Typical High $3.98 | Professional | 55 · Aftercare only | $1.32 | $1.78 | $3.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $1.20 Typical High $2.69 | Professional | 56 · Pre-op care only | $0.87 | $1.20 | $2.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $23.44 Typical High $44.67 | Professional | None | $10.47 | $23.44 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Denver HMP Setting Facility Modifier None Typical Low $9.77 Median $22.39 Typical High $42.66 | Facility | None | $9.77 | $22.39 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.33 Median $21.88 Typical High $41.69 | Professional | None | $9.33 | $21.88 | $41.69 |
Select Health Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $53.70 | Facility | None | $15.49 | $25.70 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $25.70 | Professional | None | $7.24 | $10.00 | $25.70 |
United Setting Professional Modifier None Typical Low $9.55 Median $19.50 Typical High $32.36 | Professional | None | $9.55 | $19.50 | $32.36 |
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 $5.89 Median $8.32 Typical High $23.99 | Professional | HO · Master's level | $5.89 | $8.32 | $23.99 |
Where Colorado sits
The same service costs 3.8 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· 15th of 51
$22.39
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.