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 $25.70 Median $40.74 Typical High $117.49 | Facility | None | $25.70 | $40.74 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $54.95 | Professional | None | $25.70 | $25.70 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $75.86 | Facility | None | $28.84 | $43.65 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $28.84 Typical High $36.31 | Facility | None | $26.30 | $28.84 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $25.70 Median $32.36 Typical High $42.66 | Facility | None | $25.70 | $32.36 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $51.29 | Professional | None | $19.05 | $28.18 | $51.29 |
Select Health Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $53.70 | Facility | None | $25.70 | $46.77 | $53.70 |
Select Health Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $25.70 | Professional | None | $17.78 | $17.78 | $25.70 |
United Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
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 $3.80 Median $3.80 Typical High $8.32 | Professional | 55 · Aftercare only | $3.80 | $3.80 | $8.32 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.51 Median $2.51 Typical High $5.50 | Professional | 56 · Pre-op care only | $2.51 | $2.51 | $5.50 |
Where Colorado sits
The same service costs 1.9 times more in Alaska than in New Jersey. 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
$31.62
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.