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 $39.81 Median $61.66 Typical High $169.82 | Facility | None | $39.81 | $61.66 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $58.88 | Professional | None | $39.81 | $39.81 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $63.10 Typical High $114.82 | Facility | None | $41.69 | $63.10 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $63.10 | Facility | None | $38.90 | $48.98 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Denver HMP Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $57.54 | Facility | None | $39.81 | $39.81 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $154.88 | Professional | None | $64.57 | $69.18 | $154.88 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $74.13 Typical High $83.18 | Facility | None | $39.81 | $74.13 | $83.18 |
Select Health Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None | $28.18 | $28.18 | $39.81 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 $19.95 Median $19.95 Typical High $39.81 | Professional | 52 · Reduced service | $19.95 | $19.95 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $15.85 | Professional | 53 · Discontinued | $7.94 | $7.94 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.03 Typical High $12.02 | Professional | 55 · Aftercare only | $6.03 | $6.03 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $3.98 Typical High $7.94 | Professional | 56 · Pre-op care only | $3.98 | $3.98 | $7.94 |
Where Colorado sits
The same service costs 1.6 times more in Arizona 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· 7th of 51
$46.77
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.