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 $2.95 Median $6.31 Typical High $13.49 | Facility | None | $2.95 | $6.31 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $6.31 | Professional | None | $2.95 | $2.95 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.24 Median $5.01 Typical High $8.71 | Facility | None | $3.24 | $5.01 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $3.31 Typical High $3.98 | Facility | None | $2.75 | $3.31 | $3.98 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Denver HMP Setting Facility Modifier None Typical Low $2.95 Median $3.89 Typical High $13.80 | Facility | None | $2.95 | $3.89 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $4.79 | Professional | None | $2.19 | $3.24 | $4.79 |
Select Health Setting Facility Modifier None Typical Low $2.95 Median $5.37 Typical High $6.17 | Facility | None | $2.95 | $5.37 | $6.17 |
Select Health Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.95 | Professional | None | $2.04 | $2.04 | $2.95 |
United Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
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 $0.44 Median $0.44 Typical High $0.95 | Professional | 55 · Aftercare only | $0.44 | $0.44 | $0.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.28 Median $0.28 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.28 | $0.28 | $0.65 |
Where Colorado sits
The same service costs 6.0 times more in Oklahoma than in Wyoming. 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
$3.63
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.