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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $16.98 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.76 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $5.50 Typical High $5.50 | Professional | 55 · Aftercare only | $5.01 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $3.39 | $3.72 | $3.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $29.51 Median $33.11 Typical High $33.11 | Professional | None | $29.51 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $37.15 | Professional | None | $25.70 | $25.70 | $37.15 |
Denver HMP Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $46.77 | Facility | None | $33.11 | $37.15 | $46.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $48.98 Typical High $77.62 | Professional | None | $38.02 | $48.98 | $77.62 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $70.79 Typical High $79.43 | Facility | None | $30.90 | $70.79 | $79.43 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $54.95 | Professional | None | $29.51 | $38.90 | $54.95 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
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 $28.18 Median $32.36 Typical High $38.02 | Professional | HO · Master's level | $28.18 | $32.36 | $38.02 |
Where Colorado sits
The same service costs 3.1 times more in Montana than in Mississippi. 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· 7th of 51
$37.15
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.