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 $41.69 Median $79.43 Typical High $169.82 | Facility | None | $41.69 | $79.43 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | None | $41.69 | $41.69 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $66.07 Typical High $131.83 | Facility | None | $44.67 | $66.07 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $57.54 | Facility | None | $42.66 | $46.77 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
Denver HMP Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $58.88 | Facility | None | $34.67 | $41.69 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $45.71 Typical High $83.18 | Professional | None | $30.90 | $45.71 | $83.18 |
Select Health Setting Facility Modifier None Typical Low $41.69 Median $77.62 Typical High $87.10 | Facility | None | $41.69 | $77.62 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | None | $28.84 | $28.84 | $41.69 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
2 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 55 · Aftercare only Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | 55 · Aftercare only | $6.17 | $6.17 | $12.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $7.94 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $7.94 |
Where Colorado sits
The same service costs 1.7 times more in Arizona than in Nebraska. 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· 3rd of 51
$51.29
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.