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 $51.29 Median $81.28 Typical High $218.78 | Facility | None | $51.29 | $81.28 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None | $51.29 | $51.29 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $93.33 Typical High $162.18 | Facility | None | $60.26 | $93.33 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $54.95 Typical High $91.20 | Facility | None | $43.65 | $54.95 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Denver HMP Setting Facility Modifier None Typical Low $12.88 Median $51.29 Typical High $74.13 | Facility | None | $12.88 | $51.29 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
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 $25.70 Median $25.70 Typical High $38.02 | Professional | 52 · Reduced service | $25.70 | $25.70 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $15.14 | Professional | 53 · Discontinued | $10.47 | $10.47 | $15.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.76 Median $7.76 Typical High $11.48 | Professional | 55 · Aftercare only | $7.76 | $7.76 | $11.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.13 Median $5.13 Typical High $7.59 | Professional | 56 · Pre-op care only | $5.13 | $5.13 | $7.59 |
Where Colorado sits
The same service costs 2.2 times more in Alaska than in Montana. 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
$67.61
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.