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 $2.19 Median $3.47 Typical High $10.23 | Facility | None | $2.19 | $3.47 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $2.29 Typical High $3.31 | Professional | None | $2.19 | $2.29 | $3.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $3.80 Typical High $6.61 | Facility | None | $2.45 | $3.80 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $2.45 Typical High $3.09 | Facility | None | $2.19 | $2.45 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | None | $2.19 | $2.19 | $2.19 |
Denver HMP Setting Facility Modifier None Typical Low $2.19 Median $2.95 Typical High $7.24 | Facility | None | $2.19 | $2.95 | $7.24 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.66 Median $2.40 Typical High $4.37 | Professional | None | $1.66 | $2.40 | $4.37 |
Select Health Setting Facility Modifier None Typical Low $2.19 Median $4.07 Typical High $4.57 | Facility | None | $2.19 | $4.07 | $4.57 |
Select Health Setting Professional Modifier None Typical Low $1.55 Median $1.55 Typical High $2.19 | Professional | None | $1.55 | $1.55 | $2.19 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
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 $0.33 Median $0.33 Typical High $0.72 | Professional | 55 · Aftercare only | $0.33 | $0.33 | $0.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.22 Median $0.22 Typical High $0.48 | Professional | 56 · Pre-op care only | $0.22 | $0.22 | $0.48 |
Where Colorado sits
The same service costs 1.9 times more in Wyoming than in South Carolina. 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· 5th of 51
$2.75
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.