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 $3.89 Median $20.89 Typical High $44.67 | Facility | None | $3.89 | $20.89 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.98 Typical High $5.89 | Professional | None | $3.89 | $3.98 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.37 Median $6.76 Typical High $11.75 | Facility | None | $4.37 | $6.76 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $4.47 Typical High $14.45 | Facility | None | $3.98 | $4.47 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Denver HMP Setting Facility Modifier None Typical Low $1.82 Median $4.37 Typical High $5.62 | Facility | None | $1.82 | $4.37 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.95 Median $4.27 Typical High $7.76 | Professional | None | $2.95 | $4.27 | $7.76 |
Select Health Setting Facility Modifier None Typical Low $3.89 Median $7.24 Typical High $8.13 | Facility | None | $3.89 | $7.24 | $8.13 |
Select Health Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.89 | Professional | None | $2.75 | $2.75 | $3.89 |
United Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
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 $1.95 Median $1.95 Typical High $10.47 | Professional | 52 · Reduced service | $1.95 | $1.95 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $4.17 | Professional | 53 · Discontinued | $0.78 | $0.78 | $4.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.59 Median $0.59 Typical High $3.09 | Professional | 55 · Aftercare only | $0.59 | $0.59 | $3.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.39 Median $0.39 Typical High $2.04 | Professional | 56 · Pre-op care only | $0.39 | $0.39 | $2.04 |
Where Colorado sits
The same service costs 3.2 times more in Hawaii 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· 33rd of 51
$5.13
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.