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 $46.77 Median $93.33 Typical High $218.78 | Facility | None | $46.77 | $93.33 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | None | $43.65 | $54.95 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $186.21 Typical High $281.84 | Facility | None | $66.07 | $186.21 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $128.82 | Professional | None | $26.30 | $42.66 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $75.86 Typical High $194.98 | Facility | None | $33.11 | $75.86 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $89.13 | Professional | None | $30.20 | $42.66 | $89.13 |
Denver HMP Setting Facility Modifier None Typical Low $46.77 Median $58.88 Typical High $104.71 | Facility | None | $46.77 | $58.88 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $158.49 | Professional | None | $50.12 | $89.13 | $158.49 |
Select Health Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $131.83 | Facility | None | $61.66 | $114.82 | $131.83 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | None | $43.65 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $45.71 | Professional | None | $26.30 | $33.88 | $45.71 |
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 $22.91 Median $23.44 Typical High $30.90 | Professional | 52 · Reduced service | $22.91 | $23.44 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.33 Typical High $12.30 | Professional | 53 · Discontinued | $9.12 | $9.33 | $12.30 |
Where Colorado sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 23rd of 51
$64.57
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.