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 $13.80 Median $31.62 Typical High $83.18 | Facility | None | $13.80 | $31.62 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $25.12 | Professional | None | $12.02 | $13.80 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $53.70 Typical High $83.18 | Facility | None | $20.42 | $53.70 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $37.15 | Professional | None | $7.59 | $12.30 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $21.88 Typical High $54.95 | Facility | None | $10.47 | $21.88 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $25.70 | Professional | None | $9.33 | $13.18 | $25.70 |
Denver HMP Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $36.31 | Facility | None | $13.80 | $19.50 | $36.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $26.30 Typical High $70.79 | Professional | None | $14.45 | $26.30 | $70.79 |
Select Health Setting Facility Modifier None Typical Low $18.20 Median $33.11 Typical High $38.02 | Facility | None | $18.20 | $33.11 | $38.02 |
Select Health Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $18.20 | Professional | None | $12.59 | $12.59 | $18.20 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $13.49 | Professional | None | $7.59 | $10.72 | $13.49 |
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 $6.76 Median $6.92 Typical High $9.12 | Professional | 52 · Reduced service | $6.76 | $6.92 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.75 Typical High $3.63 | Professional | 53 · Discontinued | $2.69 | $2.75 | $3.63 |
Where Colorado sits
The same service costs 4.6 times more in Kansas than in Georgia. 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· 16th of 51
$20.42
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.