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 $14.13 Median $27.54 Typical High $58.88 | Facility | None | $14.13 | $27.54 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $27.54 | Professional | None | $14.13 | $14.13 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $23.99 Typical High $39.81 | Facility | None | $15.14 | $23.99 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $15.85 Typical High $19.95 | Facility | None | $14.45 | $15.85 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Denver HMP Setting Facility Modifier None Typical Low $14.13 Median $15.49 Typical High $19.95 | Facility | None | $14.13 | $15.49 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $15.49 Typical High $28.18 | Professional | None | $10.47 | $15.49 | $28.18 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $28.18 Typical High $29.51 | Facility | None | $25.70 | $28.18 | $29.51 |
Select Health Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $14.13 | Professional | None | $9.77 | $9.77 | $14.13 |
United Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
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 $7.08 Median $7.08 Typical High $13.80 | Professional | 52 · Reduced service | $7.08 | $7.08 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $5.62 | Professional | 53 · Discontinued | $2.82 | $2.82 | $5.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.09 Median $2.09 Typical High $4.17 | Professional | 55 · Aftercare only | $2.09 | $2.09 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.41 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.41 | $1.41 | $2.82 |
Where Colorado sits
The same service costs 1.8 times more in Alaska than in Virginia. 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
$17.38
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.