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 $18.62 Median $38.90 Typical High $87.10 | Facility | None | $18.62 | $38.90 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $18.62 | Professional | None | $11.75 | $14.13 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $56.23 Typical High $85.11 | Facility | None | $20.89 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $38.02 | Professional | None | $7.76 | $12.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $58.88 | Facility | None | $10.00 | $13.18 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $12.59 Typical High $26.92 | Professional | None | $8.71 | $12.59 | $26.92 |
Denver HMP Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $24.55 | Facility | None | $14.13 | $16.98 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.79 Median $26.92 Typical High $72.44 | Professional | None | $14.79 | $26.92 | $72.44 |
Select Health Setting Facility Modifier None Typical Low $18.62 Median $34.67 Typical High $38.90 | Facility | None | $18.62 | $34.67 | $38.90 |
Select Health Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $18.62 | Professional | None | $13.18 | $13.18 | $18.62 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $13.80 | Professional | None | $7.76 | $7.76 | $13.80 |
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 $6.46 Median $7.08 Typical High $9.33 | Professional | 52 · Reduced service | $6.46 | $7.08 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.82 Typical High $3.72 | Professional | 53 · Discontinued | $2.63 | $2.82 | $3.72 |
Where Colorado sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 20th of 51
$18.62
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.