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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $234.42 | Professional | None | $107.15 | $147.91 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | None | $95.50 | $95.50 | $162.18 |
Denver HMP Setting Facility Modifier None Typical Low $93.33 Median $114.82 Typical High $131.83 | Facility | None | $93.33 | $114.82 | $131.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $213.80 | Professional | None | $104.71 | $134.90 | $213.80 |
Select Health Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $218.78 | Facility | None | $104.71 | $104.71 | $218.78 |
Select Health Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $151.36 | Professional | None | $85.11 | $107.15 | $151.36 |
United Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $234.42 | Professional | None | $114.82 | $151.36 | $234.42 |
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 $79.43 Median $89.13 Typical High $104.71 | Professional | HO · Master's level | $79.43 | $89.13 | $104.71 |
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· 41st of 51
$93.33
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.