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 $3.80 Median $8.13 Typical High $12.59 | Facility | None | $3.80 | $8.13 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.02 | Professional | None | $8.13 | $8.13 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $13.80 Typical High $23.99 | Facility | None | $9.12 | $13.80 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $9.12 Typical High $10.72 | Facility | None | $6.46 | $9.12 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Denver HMP Setting Facility Modifier None Typical Low $3.55 Median $8.13 Typical High $11.48 | Facility | None | $3.55 | $8.13 | $11.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $12.02 | Professional | None | $6.03 | $8.91 | $12.02 |
Select Health Setting Facility Modifier None Typical Low $8.13 Median $15.14 Typical High $16.98 | Facility | None | $8.13 | $15.14 | $16.98 |
Select Health Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.13 | Professional | None | $5.62 | $5.62 | $8.13 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
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 $4.07 Median $4.07 Typical High $4.79 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.91 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $1.20 Typical High $1.45 | Professional | 55 · Aftercare only | $1.20 | $1.20 | $1.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.81 Median $0.81 Typical High $0.95 | Professional | 56 · Pre-op care only | $0.81 | $0.81 | $0.95 |
Where Colorado sits
The same service costs 10.7 times more in Minnesota than in Oklahoma. 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· 6th of 51
$9.12
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.