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 $10.00 Median $19.95 Typical High $42.66 | Facility | None | $10.00 | $19.95 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $19.95 | Professional | None | $10.00 | $10.00 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $17.78 Typical High $31.62 | Facility | None | $11.75 | $17.78 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $11.75 | Facility | None | $10.72 | $10.72 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Denver HMP Setting Facility Modifier None Typical Low $10.00 Median $11.48 Typical High $14.45 | Facility | None | $10.00 | $11.48 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $17.38 Typical High $51.29 | Professional | None | $16.60 | $17.38 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
2 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 55 · Aftercare only Typical Low $1.51 Median $1.51 Typical High $3.02 | Professional | 55 · Aftercare only | $1.51 | $1.51 | $3.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.00 Median $1.00 Typical High $2.04 | Professional | 56 · Pre-op care only | $1.00 | $1.00 | $2.04 |
Where Colorado sits
The same service costs 1.7 times more in Arizona than in New York. 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· 5th of 51
$13.49
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.