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 $28.84 Median $44.67 Typical High $104.71 | Facility | None | $28.84 | $44.67 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $48.98 Typical High $87.10 | Facility | None | $32.36 | $48.98 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $44.67 | Facility | None | $33.88 | $40.74 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Denver HMP Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $40.74 | Facility | None | $20.89 | $28.84 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $42.66 | Professional | None | $28.84 | $31.62 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $28.84 Median $53.70 Typical High $60.26 | Facility | None | $28.84 | $53.70 | $60.26 |
Select Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $40.74 | Professional | None | $28.84 | $28.84 | $40.74 |
United Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Professional | None | $24.55 | $24.55 | $26.30 |
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 $14.45 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.57 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.02 |
Where Colorado sits
The same service costs 2.8 times more in Wyoming than in Arizona. 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· 31st of 51
$28.84
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.