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 $31.62 Median $48.98 Typical High $134.90 | Facility | None | $31.62 | $48.98 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $46.77 | Professional | None | $31.62 | $32.36 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $95.50 | Facility | None | $35.48 | $53.70 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $41.69 | Facility | None | $30.20 | $36.31 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Denver HMP Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $45.71 | Facility | None | $24.55 | $31.62 | $45.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $63.10 | Professional | None | $23.99 | $34.67 | $63.10 |
Select Health Setting Facility Modifier None Typical Low $31.62 Median $58.88 Typical High $66.07 | Facility | None | $31.62 | $58.88 | $66.07 |
Select Health Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $31.62 | Professional | None | $22.39 | $22.39 | $31.62 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
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 $15.85 Median $15.85 Typical High $31.62 | Professional | 52 · Reduced service | $15.85 | $15.85 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $12.59 | Professional | 53 · Discontinued | $6.31 | $6.31 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $9.55 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.16 Typical High $6.31 | Professional | 56 · Pre-op care only | $3.16 | $3.16 | $6.31 |
Where Colorado sits
The same service costs 3.8 times more in Alabama than in Virginia. 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· 7th of 51
$38.02
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.