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 $41.69 Median $41.69 Typical High $48.98 | Facility | None | $41.69 | $41.69 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $48.98 | Professional | None | $33.11 | $41.69 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $63.10 | Professional | None | $30.90 | $42.66 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Denver HMP Setting Facility Modifier None Typical Low $30.20 Median $45.71 Typical High $77.62 | Facility | None | $30.20 | $45.71 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $26.92 Median $39.81 Typical High $56.23 | Professional | None | $26.92 | $39.81 | $56.23 |
Select Health Setting Facility Modifier None Typical Low $33.11 Median $44.67 Typical High $69.18 | Facility | None | $33.11 | $44.67 | $69.18 |
Select Health Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $38.90 | Professional | None | $22.91 | $29.51 | $38.90 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $53.70 | Professional | None | $28.18 | $36.31 | $53.70 |
5 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 $16.98 Median $20.89 Typical High $24.55 | Professional | 52 · Reduced service | $16.98 | $20.89 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.32 Typical High $9.77 | Professional | 53 · Discontinued | $6.76 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.17 Typical High $7.24 | Professional | 55 · Aftercare only | $5.01 | $6.17 | $7.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.17 Typical High $4.90 | Professional | 56 · Pre-op care only | $3.39 | $4.17 | $4.90 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $16.98 Median $23.99 Typical High $30.90 | Professional | HO · Master's level | $16.98 | $23.99 | $30.90 |
Where Colorado sits
The same service costs 3.8 times more in Alaska than in Indiana. 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· 13th of 51
$40.74
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.