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 $1.74 Median $3.47 Typical High $7.41 | Facility | None | $1.74 | $3.47 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $3.47 | Professional | None | $1.74 | $1.74 | $3.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.86 Median $2.82 Typical High $5.50 | Facility | None | $1.86 | $2.82 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $1.95 Typical High $2.45 | Facility | None | $1.74 | $1.95 | $2.45 |
Cigna Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
Denver HMP Setting Facility Modifier None Typical Low $1.55 Median $1.74 Typical High $2.45 | Facility | None | $1.55 | $1.74 | $2.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.29 Median $1.91 Typical High $3.02 | Professional | None | $1.29 | $1.91 | $3.02 |
Select Health Setting Facility Modifier None Typical Low $3.16 Median $3.47 Typical High $3.63 | Facility | None | $3.16 | $3.47 | $3.63 |
Select Health Setting Professional Modifier None Typical Low $1.20 Median $1.20 Typical High $1.74 | Professional | None | $1.20 | $1.20 | $1.74 |
United Setting Facility Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | None | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | None | $1.74 | $1.74 | $1.74 |
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 $0.85 Median $0.85 Typical High $1.74 | Professional | 52 · Reduced service | $0.85 | $0.85 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.34 Typical High $0.71 | Professional | 53 · Discontinued | $0.34 | $0.34 | $0.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.26 Typical High $0.52 | Professional | 55 · Aftercare only | $0.26 | $0.26 | $0.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.17 Median $0.17 Typical High $0.35 | Professional | 56 · Pre-op care only | $0.17 | $0.17 | $0.35 |
Where Colorado sits
The same service costs 4265.8 times more in Alabama than in Washington, DC. 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
$2.14
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.