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 $48.98 Median $97.72 Typical High $204.17 | Facility | None | $48.98 | $97.72 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $51.29 | Professional | None | $48.98 | $48.98 | $51.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $147.91 | Facility | None | $56.23 | $85.11 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $12.30 Typical High $52.48 | Facility | None | $9.55 | $12.30 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Denver HMP Setting Facility Modifier None Typical Low $5.75 Median $48.98 Typical High $69.18 | Facility | None | $5.75 | $48.98 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $35.48 Typical High $346.74 | Professional | None | $15.14 | $35.48 | $346.74 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | None | $57.54 | $57.54 | $63.10 |
United Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | None | $50.12 | $50.12 | $52.48 |
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 $24.55 Median $24.55 Typical High $25.12 | Professional | 52 · Reduced service | $24.55 | $24.55 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | 55 · Aftercare only | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $4.90 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.90 | $4.90 | $5.13 |
Where Colorado sits
The same service costs 6.6 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· 39th of 51
$50.12
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.