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 $17.78 Median $35.48 Typical High $74.13 | Facility | None | $17.78 | $35.48 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $18.62 Typical High $26.92 | Professional | None | $17.78 | $18.62 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $30.90 Typical High $51.29 | Facility | None | $19.50 | $30.90 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $26.30 | Facility | None | $18.20 | $20.42 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
Denver HMP Setting Facility Modifier None Typical Low $17.78 Median $19.95 Typical High $25.70 | Facility | None | $17.78 | $19.95 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $35.48 | Professional | None | $13.49 | $19.50 | $35.48 |
Select Health Setting Facility Modifier None Typical Low $17.78 Median $33.11 Typical High $38.02 | Facility | None | $17.78 | $33.11 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $17.78 | Professional | None | $12.59 | $12.59 | $17.78 |
United Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
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 $8.91 Median $8.91 Typical High $17.38 | Professional | 52 · Reduced service | $8.91 | $8.91 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $7.08 | Professional | 53 · Discontinued | $3.55 | $3.55 | $7.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.69 Typical High $5.25 | Professional | 55 · Aftercare only | $2.69 | $2.69 | $5.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $1.78 Typical High $3.55 | Professional | 56 · Pre-op care only | $1.78 | $1.78 | $3.55 |
Where Colorado sits
The same service costs 1.5 times more in Alaska than in Rhode Island. 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· 8th of 51
$21.38
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.