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 $41.69 Median $66.07 Typical High $190.55 | Facility | None | $41.69 | $66.07 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $89.13 | Professional | None | $41.69 | $41.69 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $125.89 | Facility | None | $46.77 | $72.44 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $56.23 | Facility | None | $35.48 | $47.86 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $13.49 Median $41.69 Typical High $60.26 | Facility | None | $13.49 | $41.69 | $60.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $83.18 | Professional | None | $31.62 | $45.71 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $87.10 | Facility | None | $41.69 | $77.62 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $41.69 | Professional | None | $29.51 | $29.51 | $41.69 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
4 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 $20.89 Median $20.89 Typical High $44.67 | Professional | 52 · Reduced service | $20.89 | $20.89 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $17.78 | Professional | 53 · Discontinued | $8.32 | $8.32 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $13.18 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $8.91 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $8.91 |
Where Colorado sits
The same service costs 1.8 times more in Arizona than in Georgia. 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
$52.48
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.