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 $14.45 Median $28.84 Typical High $60.26 | Facility | None | $14.45 | $28.84 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $28.84 | Professional | None | $14.45 | $14.45 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $24.55 Typical High $43.65 | Facility | None | $16.22 | $24.55 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $16.22 Typical High $20.42 | Facility | None | $13.80 | $16.22 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Denver HMP Setting Facility Modifier None Typical Low $14.45 Median $19.05 Typical High $30.90 | Facility | None | $14.45 | $19.05 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $28.84 | Professional | None | $10.96 | $15.85 | $28.84 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $26.92 Typical High $30.20 | Facility | None | $14.45 | $26.92 | $30.20 |
Select Health Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $14.45 | Professional | None | $10.23 | $10.23 | $14.45 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
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 $7.24 Median $7.24 Typical High $14.13 | Professional | 52 · Reduced service | $7.24 | $7.24 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $5.75 | Professional | 53 · Discontinued | $2.88 | $2.88 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.19 Median $2.19 Typical High $4.27 | Professional | 55 · Aftercare only | $2.19 | $2.19 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.45 Median $1.45 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.45 | $1.45 | $2.82 |
Where Colorado sits
The same service costs 2.0 times more in Wyoming than in Oklahoma. 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
$17.78
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.