How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $8.51 Typical High $9.55 | Professional | None | $2.88 | $8.51 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $14.79 Typical High $26.92 | Professional | None | $7.08 | $14.79 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.92 | Professional | None | $6.46 | $6.46 | $6.92 |
Denver HMP Setting Facility Modifier None Typical Low $4.47 Median $8.51 Typical High $14.45 | Facility | None | $4.47 | $8.51 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Select Health Setting Facility Modifier None Typical Low $12.59 Median $22.91 Typical High $26.30 | Facility | None | $12.59 | $22.91 | $26.30 |
Select Health Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $12.59 | Professional | None | $8.71 | $11.22 | $12.59 |
United Setting Professional Modifier None Typical Low $10.23 Median $14.45 Typical High $23.99 | Professional | None | $10.23 | $14.45 | $23.99 |
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 $3.63 Median $4.27 Typical High $5.25 | Professional | 52 · Reduced service | $3.63 | $4.27 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.74 Typical High $2.09 | Professional | 53 · Discontinued | $1.45 | $1.74 | $2.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $1.29 Typical High $1.55 | Professional | 55 · Aftercare only | $1.07 | $1.29 | $1.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $0.85 Typical High $1.05 | Professional | 56 · Pre-op care only | $0.72 | $0.85 | $1.05 |
Where Colorado sits
The same service costs 25.1 times more in Wyoming than in New Jersey. 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· 7th of 51
$13.49
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.