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 $81.28 Median $169.82 Typical High $371.54 | Facility | None | $81.28 | $169.82 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $61.66 Typical High $81.28 | Professional | None | $60.26 | $61.66 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $239.88 Typical High $371.54 | Facility | None | $85.11 | $239.88 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $165.96 | Professional | None | $33.88 | $54.95 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $97.72 Typical High $245.47 | Facility | None | $46.77 | $97.72 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $57.54 Typical High $114.82 | Professional | None | $41.69 | $57.54 | $114.82 |
Denver HMP Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $162.18 | Facility | None | $61.66 | $87.10 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $169.82 | Professional | None | $64.57 | $117.49 | $169.82 |
Select Health Setting Facility Modifier None Typical Low $81.28 Median $147.91 Typical High $169.82 | Facility | None | $81.28 | $147.91 | $169.82 |
Select Health Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $81.28 | Professional | None | $56.23 | $56.23 | $81.28 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $58.88 | Professional | None | $33.88 | $46.77 | $58.88 |
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 $30.20 Median $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $30.20 | $30.20 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.30 Typical High $16.22 | Professional | 53 · Discontinued | $12.02 | $12.30 | $16.22 |
Where Colorado sits
The same service costs 4.6 times more in Kansas 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· 20th of 51
$83.18
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.