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 $36.31 Median $83.18 Typical High $165.96 | Facility | None | $36.31 | $83.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $66.07 | Professional | None | $33.11 | $38.90 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $218.78 | Facility | None | $53.70 | $141.25 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $97.72 | Professional | None | $19.95 | $33.11 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $57.54 Typical High $144.54 | Facility | None | $27.54 | $57.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $67.61 | Professional | None | $24.55 | $35.48 | $67.61 |
Denver HMP Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $95.50 | Facility | None | $36.31 | $51.29 | $95.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $67.61 Typical High $97.72 | Professional | None | $38.02 | $67.61 | $97.72 |
Select Health Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $100.00 | Facility | None | $47.86 | $89.13 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None | $33.11 | $33.11 | $47.86 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $35.48 | Professional | None | $19.95 | $28.18 | $35.48 |
2 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 $17.78 Median $18.20 Typical High $23.99 | Professional | 52 · Reduced service | $17.78 | $18.20 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.24 Typical High $9.55 | Professional | 53 · Discontinued | $7.08 | $7.24 | $9.55 |
Where Colorado sits
The same service costs 6.6 times more in Alaska than in Alabama. 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· 17th of 51
$54.95
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.