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 $5.50 Median $10.72 Typical High $22.91 | Facility | None | $5.50 | $10.72 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $8.91 | Professional | None | $5.50 | $5.50 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $9.12 Typical High $17.78 | Facility | None | $6.03 | $9.12 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $6.31 Typical High $7.59 | Facility | None | $5.62 | $6.31 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Denver HMP Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $7.94 | Facility | None | $5.50 | $5.50 | $7.94 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $7.94 | Professional | None | $4.17 | $6.03 | $7.94 |
Select Health Setting Facility Modifier None Typical Low $5.50 Median $10.23 Typical High $11.48 | Facility | None | $5.50 | $10.23 | $11.48 |
Select Health Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $5.50 | Professional | None | $3.89 | $3.89 | $5.50 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
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 $2.75 Median $2.75 Typical High $4.47 | Professional | 52 · Reduced service | $2.75 | $2.75 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.82 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.83 Median $0.83 Typical High $1.35 | Professional | 55 · Aftercare only | $0.83 | $0.83 | $1.35 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.55 Median $0.55 Typical High $0.89 | Professional | 56 · Pre-op care only | $0.55 | $0.55 | $0.89 |
Where Colorado sits
The same service costs 1.7 times more in Alaska than in Nebraska. 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
$6.76
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.