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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | 55 · Aftercare only | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 56 · Pre-op care only | $6.61 | $6.61 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $165.96 | Professional | None | $75.86 | $107.15 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $117.49 | Professional | None | $67.61 | $67.61 | $117.49 |
Denver HMP Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $95.50 | Facility | None | $66.07 | $81.28 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $151.36 | Professional | None | $75.86 | $95.50 | $151.36 |
Select Health Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $158.49 | Facility | None | $75.86 | $75.86 | $158.49 |
Select Health Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $109.65 | Professional | None | $60.26 | $75.86 | $109.65 |
United Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $165.96 | Professional | None | $83.18 | $109.65 | $165.96 |
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 $56.23 Median $64.57 Typical High $75.86 | Professional | HO · Master's level | $56.23 | $64.57 | $75.86 |
Where Colorado sits
The same service costs 2.5 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· 39th of 51
$66.07
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.