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 $3.72 Median $7.08 Typical High $15.14 | Facility | None | $3.72 | $7.08 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $7.08 | Professional | None | $3.72 | $3.72 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.98 Median $6.03 Typical High $11.75 | Facility | None | $3.98 | $6.03 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $4.17 Typical High $5.25 | Facility | None | $3.80 | $4.17 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | None | $3.72 | $3.72 | $3.72 |
Denver HMP Setting Facility Modifier None Typical Low $3.55 Median $3.72 Typical High $5.37 | Facility | None | $3.55 | $3.72 | $5.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.75 Median $4.07 Typical High $7.41 | Professional | None | $2.75 | $4.07 | $7.41 |
Select Health Setting Facility Modifier None Typical Low $3.72 Median $6.92 Typical High $7.76 | Facility | None | $3.72 | $6.92 | $7.76 |
Select Health Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.72 | Professional | None | $2.57 | $2.57 | $3.72 |
United Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
United Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
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 $1.86 Median $1.86 Typical High $3.55 | Professional | 52 · Reduced service | $1.86 | $1.86 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $1.45 | Professional | 53 · Discontinued | $0.74 | $0.74 | $1.45 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.56 Median $0.56 Typical High $1.07 | Professional | 55 · Aftercare only | $0.56 | $0.56 | $1.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.37 Median $0.37 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.37 | $0.37 | $0.72 |
Where Colorado sits
The same service costs 1.9 times more in Alaska than in Rhode Island. 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· 3rd of 51
$4.57
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.