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 $44.67 Median $89.13 Typical High $190.55 | Facility | None | $44.67 | $89.13 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | None | $44.67 | $44.67 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $79.43 Typical High $138.04 | Facility | None | $52.48 | $79.43 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $141.25 | Facility | None | $47.86 | $47.86 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Denver HMP Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $64.57 | Facility | None | $44.67 | $44.67 | $64.57 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
United Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 $22.39 Median $22.39 Typical High $47.86 | Professional | 52 · Reduced service | $22.39 | $22.39 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $19.50 | Professional | 53 · Discontinued | $8.91 | $8.91 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $6.76 Typical High $14.45 | Professional | 55 · Aftercare only | $6.76 | $6.76 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $4.47 Typical High $9.77 | Professional | 56 · Pre-op care only | $4.47 | $4.47 | $9.77 |
Where Colorado sits
The same service costs 3.9 times more in Hawaii than in South Carolina. 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· 12th of 51
$77.62
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.