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 $57.54 Typical High $123.03 | Facility | None | $28.84 | $57.54 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.90 | Professional | None | $28.84 | $28.84 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $51.29 Typical High $89.13 | Facility | None | $33.88 | $51.29 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Denver HMP Setting Facility Modifier None Typical Low $11.75 Median $28.84 Typical High $41.69 | Facility | None | $11.75 | $28.84 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Select Health Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | None | $32.36 | $32.36 | $36.31 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | None | $30.20 | $30.20 | $31.62 |
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 $15.49 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.17 |
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 $3.09 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.09 |
Where Colorado sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 24th of 51
$30.90
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.