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 $26.92 Median $46.77 Typical High $114.82 | Facility | None | $26.92 | $46.77 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | None | $26.92 | $26.92 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $85.11 | Facility | None | $28.84 | $42.66 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $28.84 Typical High $45.71 | Facility | None | $26.30 | $28.84 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Denver HMP Setting Facility Modifier None Typical Low $26.92 Median $29.51 Typical High $38.02 | Facility | None | $26.92 | $29.51 | $38.02 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $52.48 | Professional | None | $19.95 | $29.51 | $52.48 |
Select Health Setting Facility Modifier None Typical Low $26.92 Median $48.98 Typical High $56.23 | Facility | None | $26.92 | $48.98 | $56.23 |
Select Health Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $26.92 | Professional | None | $18.62 | $18.62 | $26.92 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
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 $13.18 Median $13.18 Typical High $26.92 | Professional | 52 · Reduced service | $13.18 | $13.18 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $10.72 | Professional | 53 · Discontinued | $5.37 | $5.37 | $10.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.98 Median $3.98 Typical High $7.94 | Professional | 55 · Aftercare only | $3.98 | $3.98 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.63 Median $2.63 Typical High $5.37 | Professional | 56 · Pre-op care only | $2.63 | $2.63 | $5.37 |
Where Colorado sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 12th of 51
$33.11
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.