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 $25.70 Median $52.48 Typical High $1,621.81 | Facility | None | $25.70 | $52.48 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $933.25 Typical High $1,230.27 | Professional | None | $25.70 | $933.25 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $1,071.52 Typical High $2,238.72 | Professional | None | $41.69 | $1,071.52 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Denver HMP Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $1,949.84 | Facility | None | $33.88 | $79.43 | $1,949.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $338.84 Typical High $2,344.23 | Professional | None | $37.15 | $338.84 | $2,344.23 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $1,445.44 Typical High $3,019.95 | Facility | None | $61.66 | $1,445.44 | $3,019.95 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $1,445.44 | Professional | None | $28.84 | $40.74 | $1,445.44 |
United Setting Facility Modifier None Typical Low $7,079.46 Median $7,413.10 Typical High $8,511.38 | Facility | None | $7,079.46 | $7,413.10 | $8,511.38 |
United Setting Professional Modifier None Typical Low $28.18 Median $831.76 Typical High $1,659.59 | Professional | None | $28.18 | $831.76 | $1,659.59 |
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 $537.03 Typical High $616.60 | Professional | 52 · Reduced service | $16.98 | $537.03 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $218.78 Typical High $245.47 | Professional | 53 · Discontinued | $6.76 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | 55 · Aftercare only | $165.96 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $123.03 Typical High $123.03 | Professional | 56 · Pre-op care only | $109.65 | $123.03 | $123.03 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $23.44 Median $33.11 Typical High $1,380.38 | Professional | HO · Master's level | $23.44 | $33.11 | $1,380.38 |
Where Colorado sits
The same service costs 49.0 times more in Hawaii than in Maryland. 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· 28th of 51
$933
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.