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 $43.65 Median $109.65 Typical High $229.09 | Facility | None | $43.65 | $109.65 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $109.65 | Professional | None | $43.65 | $43.65 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $131.83 | Facility | None | $48.98 | $74.13 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $67.61 | Facility | None | $44.67 | $50.12 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Denver HMP Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $104.71 | Facility | None | $43.65 | $57.54 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $87.10 | Professional | None | $33.11 | $47.86 | $87.10 |
Select Health Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $91.20 | Facility | None | $43.65 | $81.28 | $91.20 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | None | $30.90 | $30.90 | $43.65 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $21.88 Median $21.88 Typical High $54.95 | Professional | 52 · Reduced service | $21.88 | $21.88 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $21.88 | Professional | 53 · Discontinued | $8.71 | $8.71 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $6.61 Typical High $16.22 | Professional | 55 · Aftercare only | $6.61 | $6.61 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $4.37 Typical High $10.96 | Professional | 56 · Pre-op care only | $4.37 | $4.37 | $10.96 |
Where Colorado sits
The same service costs 2.0 times more in Alaska than in Wyoming. 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· 13th of 51
$54.95
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.