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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $15.49 | $15.49 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $389.05 | Professional | None | $177.83 | $245.47 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $275.42 | Professional | None | $169.82 | $169.82 | $275.42 |
Denver HMP Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $229.09 | Facility | None | $154.88 | $190.55 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $380.19 | Professional | None | $186.21 | $239.88 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $389.05 | Facility | None | $186.21 | $186.21 | $389.05 |
Select Health Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $269.15 | Professional | None | $141.25 | $177.83 | $269.15 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $389.05 | Professional | None | $190.55 | $251.19 | $389.05 |
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 $138.04 Median $158.49 Typical High $186.21 | Professional | HO · Master's level | $138.04 | $158.49 | $186.21 |
Where Colorado sits
The same service costs 2.6 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· 41st of 51
$155
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.