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 $1.29 Median $1.95 Typical High $3.72 | Facility | None | $1.29 | $1.95 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $1.95 Typical High $2.24 | Professional | None | $1.29 | $1.95 | $2.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.19 Median $3.31 Typical High $5.75 | Facility | None | $2.19 | $3.31 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $1.35 Median $2.19 Typical High $2.51 | Facility | None | $1.35 | $2.19 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | None | $1.95 | $1.95 | $1.95 |
Denver HMP Setting Facility Modifier None Typical Low $0.48 Median $1.95 Typical High $2.75 | Facility | None | $0.48 | $1.95 | $2.75 |
Denver HMP Setting Professional Modifier None Typical Low $1.95 Median $2.04 Typical High $2.19 | Professional | None | $1.95 | $2.04 | $2.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.82 Median $2.14 Typical High $3.02 | Professional | None | $1.82 | $2.14 | $3.02 |
Select Health Setting Facility Modifier None Typical Low $1.95 Median $3.63 Typical High $4.07 | Facility | None | $1.95 | $3.63 | $4.07 |
Select Health Setting Professional Modifier None Typical Low $0.91 Median $1.55 Typical High $1.95 | Professional | None | $0.91 | $1.55 | $1.95 |
United Setting Professional Modifier None Typical Low $0.68 Median $0.91 Typical High $0.91 | Professional | None | $0.68 | $0.91 | $0.91 |
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 $0.14 Median $0.28 Typical High $0.30 | Professional | 55 · Aftercare only | $0.14 | $0.28 | $0.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.09 Median $0.19 Typical High $0.20 | Professional | 56 · Pre-op care only | $0.09 | $0.19 | $0.20 |
Where Colorado sits
The same service costs 2.3 times more in Arkansas than in North Carolina. 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· 2nd of 51
$2.04
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.